John J Shaw, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

006099 Issued in NY

Practice address

127 S Broadway
Nyack, NY 10960-4433

Phone

(845) 358-4591

Fax

(845) 358-4591

NPI assigned

Dec 11, 2006

Last updated

Mar 31, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1144380254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 S BROADWAY",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109604433",
            "telephone_number": "845-358-4591",
            "fax_number": "845-358-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S BROADWAY",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109604433",
            "telephone_number": "845-358-4591",
            "fax_number": "845-358-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "JOHN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "006099",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "6099",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David E Seitz, MD
• Serene Shuttle Car and Limo Service
• Nandini Seshan, DO
• Isaac Shamah, LCSW
• Shaw Counseling Services
• Jan Sheerin, OTR / L
• Jeffrey Sheerin, LCSW
• Ben Sheff
• Michelle Kennel Shenk, LMHC
• Dore A. Sheppard, PHD, LCSW

• Psychologist in Nyack, NY
• Providers in Nyack, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.