Active NPI
Shawn Paige, LPMFT
- Marriage & Family Therapist
- Syracuse, NY
National Provider Identifier
1275359358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 06-P132800-01
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 06-P132800-01 | NY | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amani and Shalom Wellness | Marriage & Family Therapist | Current | 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.
-
- Marriage & Family Therapist
- Syracuse, NY
- NPI 1316783764
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.