Individual provider Active NPI

Shawn Paige, LPMFT

  • Marriage & Family Therapist
  • Syracuse, NY
National Provider Identifier
1275359358
Registry record updated Nov 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
06-P132800-01 Issued in NY
Practice address
444 S Salina St Unit 186
Syracuse, NY 13201-2108
Phone
(929) 269-8915
NPI assigned
Nov 23, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 06-P132800-01 NY Primary

Addresses

Primary practice location

444 S Salina St Unit 186
Syracuse, NY 13201-2108

Mailing address

22822 141St Ave
Laurelton, NY 11413-2907
Phone (929) 410-7704

Other names 1

  • Shawn Anthony Paige Other name

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

State licenses

LicenseStateTypeSpecialty
06-P132800-01NYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Amani and Shalom Wellness Marriage & Family Therapist CurrentSince Nov 24, 2024 Accepting new patients

Locations

444 S Salina St
Unit 186
Syracuse, NY 13201
Phone (315) 243-1083

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1732320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732320000000",
    "number": "1275359358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22822 141ST AVE",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114132907",
            "telephone_number": "929-410-7704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 S SALINA ST UNIT 186",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132012108",
            "telephone_number": "929-269-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAIGE",
        "first_name": "SHAWN",
        "credential": "LPMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-23",
        "last_updated": "2024-11-23",
        "certification_date": "2024-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "06-P132800-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAWN",
            "last_name": "PAIGE",
            "middle_name": "ANTHONY",
            "credential": "LPMFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.