Eilon Nathan Shomron-Atar

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS1576 Issued in ME

Practice address

33 Front St Ste C
Belfast, ME 04915-6665

Phone

(347) 674-9532

NPI assigned

May 11, 2016

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

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

{
    "created_epoch": "1462924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541462400000",
    "number": "1154777845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 FRONT ST STE C",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156665",
            "telephone_number": "347-674-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 FRONT ST STE C",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049156665",
            "telephone_number": "347-674-9532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 W 57th St",
            "address_2": "Suite No. 501",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101070001",
            "country_code": "US",
            "telephone_number": "347-673-9532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOMRON-ATAR",
        "first_name": "EILON",
        "middle_name": "NATHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-11",
        "last_updated": "2018-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "ME",
            "license": "PS1576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seebreeze Family Eyecare, P.a.
• Leigh Seeleman
• Allison Lindsay Sharpe, M.S. CCC-SLP
• Moira Shaw, M.A
• Allison Sherman
• Karen Shute, MA, CCC-SLP
• Sasha Simmons, OTR/L
• Adam Sitarski
• Yujung Kim Skibo, NP-C
• Sonya Y Skoog, PT

• Psychologist in Belfast, ME
• Providers in Belfast, ME by specialty
• Psychologist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.