Shiloh Psychological Consulting

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

SHILOH PSYCHOLOGICAL CONSULTING

Practice address

566 7TH Ave FL 4
New York, NY 10018-1802

Phone

(212) 564-7631

Fax

(212) 564-7819

NPI assigned

Nov 2, 2018

Organization subpart

No

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

Authorized official

Name

Maya Johnson, MS

Title

Assistant Director

Phone

(212) 564-7631

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kay Ellen Jackson, PH. D.

  • Psychologist
  • New York, NY
  • NPI 1417127945
  NPD (past)

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

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541116800000",
    "number": "1346718889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 7TH AVE FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100181802",
            "telephone_number": "212-564-7631",
            "fax_number": "212-564-7819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 7TH AVE FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100181802",
            "telephone_number": "212-564-7631",
            "fax_number": "212-564-7819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHILOH PSYCHOLOGICAL CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-02",
        "last_updated": "2018-11-02",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MAYA",
        "authorized_official_title_or_position": "ASSISTANT DIRECTOR",
        "authorized_official_telephone_number": "212-564-7631",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeline Shill, LCSW
• Sina Shilleh
• Joleen Shillingford, LMSW
• Dan Shilo, M.D.
• Shiloh Consulting LLC
• Helen Shim- Chang, MD
• Hye Gi Shim
• Jan J Shim, M.D.
• Soyeon Shim, L.AC
• Synia Shim, LMSW, CASAC-T

• Substance Use Disorder Rehabilitation Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; 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.