Shannon Taylor Szobesky

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

010472 Issued in NY

Practice address

2255 Centre Ave
Bellmore, NY 11710-3499

Phone

(516) 643-4976

NPI assigned

Jun 20, 2017

Reactivated

Oct 28, 2020

Last updated

Apr 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682035200000",
    "number": "1356871586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 SWAN DR",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117587930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 CENTRE AVE",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117103499",
            "telephone_number": "516-643-4976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZOBESKY",
        "first_name": "SHANNON",
        "middle_name": "TAYLOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-20",
        "last_updated": "2023-04-21",
        "certification_date": "2023-04-21",
        "deactivation_date": "2020-09-14",
        "reactivation_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "010472",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Su, M.D.
• Johanna Elizabeth Sullivan, MA CCC SLP
• Kristen Sundack
• Sunshine Acupunture PC
• Shelly Sweeney
• Samirah Taliaferro
• Tara Donlon Mental Health Counseling PLLC
• Rosemary I Taveras, PSYD
• Maria Concepcion Bautista Taylor, D.PT.,CEEAA CDP
• Donald Howard Teplitz, D.O.

• Mental Health Counselor in Bellmore, NY
• Providers in Bellmore, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2023; 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.