Active NPI
Shelly Ostro
- Psychoanalyst
- New York, NY
National Provider Identifier
1326766775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- License
- 001149
- Practice address
- 1 W 64TH St
New York, NY 10023-6734 - Phone
- (929) 428-2859
- NPI assigned
- Aug 19, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | 001149 | NY | Primary |
Addresses
Primary practice location
1 W 64TH St
New York, NY 10023-6734
Mailing address
318 W 100TH St Apt 5C
New York, NY 10025-5372
Phone (929) 428-2859
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 785389941 | Other | NY | DRIVER LICENSE |
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 |
|---|---|---|---|
| 001149 | NY | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1326766775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 W 100TH ST APT 5C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100255372",
"telephone_number": "929-428-2859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 W 64TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100236734",
"telephone_number": "929-428-2859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSTRO",
"first_name": "SHELLY",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-19",
"last_updated": "2022-08-19",
"certification_date": "2022-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": "NY",
"license": "001149",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER LICENSE",
"identifier": "785389941",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.