Sandy Shehata, MA, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00777300 Issued in NJ

Practice address

33 W 16TH St
Bayonne, NJ 07002-3601

Phone

(201) 932-6951

NPI assigned

Mar 28, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1245081256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 W 16TH ST",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023601",
            "telephone_number": "201-932-6951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 W 16TH ST",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023601",
            "telephone_number": "201-932-6951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEHATA",
        "first_name": "SANDY",
        "credential": "MA, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00777300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonal V Shah, MS, RD, CNSC
• Shan Nagendra,M.D.P.C.
• Nedaa Sharobeem, MD
• Caitlin Noel Sharp, M.A., CCC-SLP
• Andrew Shehata, DO
• Muhammad Bilal Sheikh, PHARMD
• Ashraf Shenouda
• Magdolin Mishel Samy Saad Shenouda, PT, DPT, PH.D.
• Sara Shi, DO
• Eunjung Shim, DMD, MDS

• Mental Health Counselor in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.