Individual provider Active NPI

Barbara Meryl Shaw-Zirt, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Monticello, NY
National Provider Identifier
1255408902
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
014688 Issued in NY
Practice address
10 Saint John St
Monticello, NY 12701-2137
Phone
(845) 794-1868
Fax
(845) 794-5961
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 014688 NY
Clinical Child & Adolescent Psychologist 103TC2200X 014688 NY Primary

Addresses

Primary practice location

10 Saint John St
Monticello, NY 12701-2137

Mailing address

10 Saint John St
PO Box 1311
Monticello, NY 12701-2137
Phone (845) 794-1868

Other identifiers 6

IdentifierTypeStateIssuer
211452OtherNYUNITED BEHAVIORAL HEALTH
503089OtherNYVALUE OPTIONS
02145182MedicaidNY
603442OtherNYMVP HEALTHCARE
1035160OtherNYHUDSON HEALTH PLAN
IP559283OtherNYMAGELLAN BEHAVIORAL HEALT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
014688NYMDClinical Child & Adolescent Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322784000000",
    "number": "1255408902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 SAINT JOHN ST",
            "address_2": "PO BOX 1311",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127012137",
            "telephone_number": "845-794-1868",
            "fax_number": "845-794-5961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SAINT JOHN ST",
            "city": "MONTICELLO",
            "state": "NY",
            "postal_code": "127012137",
            "telephone_number": "845-794-1868",
            "fax_number": "845-794-5961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW-ZIRT",
        "first_name": "BARBARA",
        "middle_name": "MERYL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2011-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "014688",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "NY",
            "license": "014688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "211452",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "503089",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02145182",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTHCARE",
            "identifier": "603442",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUDSON HEALTH PLAN",
            "identifier": "1035160",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BEHAVIORAL HEALT",
            "identifier": "IP559283",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monticello, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.