Active NPI
Charulata Shah
- Psychiatry Physician
- New Hampton, NY
National Provider Identifier
1356466189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 173555
- Practice address
- Box 158 Route 17-M
New Hampton, NY 10958 - Phone
- (845) 374-3171
- NPI assigned
- Mar 20, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 173555 | NY | Primary |
Addresses
Primary practice location
Box 158 Route 17-M
New Hampton, NY 10958
Mailing address
16 Fortune Rd E
Middletown, NY 10941-1633
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 173555 | Medicaid | NY |
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 |
|---|---|---|---|
| 173555 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Hudson Psychiatric Center | Past | Accepting new patients | |
| Nys Office of Mental Health | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Institutional Pharmacy
- New Hampton, NY
- NPI 1295882421
-
- Psychiatric Hospital
- New Hampton, NY
- NPI 1629135850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356466189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 FORTUNE RD E",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109411633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BOX 158 ROUTE 17-M",
"city": "NEW HAMPTON",
"state": "NY",
"postal_code": "10958",
"telephone_number": "845-374-3171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "CHARULATA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "173555",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "173555",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Hampton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.