Valery Shikverg, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

155048 Issued in NY

Practice address

165 Coleman Ave
Watertown, NY 13601-2217

Phone

(315) 782-2061

NPI assigned

Jun 19, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213833600000",
    "number": "1366603698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 COLEMAN AVE",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136012217",
            "telephone_number": "315-782-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 COLEMAN AVE",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136012217",
            "telephone_number": "315-782-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIKVERG",
        "first_name": "VALERY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2008-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "155048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Peter Shepard, M.A., CCC-SLP
• Deana Shepard
• Angel J Shepherd
• Megan M Shepherd, ATC
• Richard G Sherry, M.D.
• Leanna Shippee
• Danielle Elizabeth Shirkey, MS CCC SLP
• Amy Shockley
• Diane Iragena Shumbusho, MD
• Emile Shumbusho, MD

• Psychiatry Physician in Watertown, NY
• Providers in Watertown, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.