Active NPI
Shawn T Prichard, PH.D.
- Psychologist
- Katonah, NY
National Provider Identifier
1366729691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 015395-1
- Practice address
- 23 Parkway
Katonah, NY 10536-1570 - Phone
- (347) 672-7197
- NPI assigned
- Nov 15, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 015395-1 | NY | Primary |
| Psychologist | 103T00000X | 002455 | CT |
Addresses
Primary practice location
23 Parkway
Katonah, NY 10536-1570
Mailing address
23 Parkway
Katonah, NY 10536-1570
Phone (347) 672-7197
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 015395-1 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1321315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321315200000",
"number": "1366729691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 PARKWAY",
"city": "KATONAH",
"state": "NY",
"postal_code": "105361570",
"telephone_number": "347-672-7197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 PARKWAY",
"city": "KATONAH",
"state": "NY",
"postal_code": "105361570",
"telephone_number": "347-672-7197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICHARD",
"first_name": "SHAWN",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-11-15",
"last_updated": "2011-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "015395-1",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CT",
"license": "002455",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Katonah, NY
- Peter Arnow LLC
- David Lloyd Pogge, PH.D.
- Jennifer Anne Powell-Lunder, PSY. D.
- Francis Joseph Prael Jr., FNP
- Premier Physical Therapy and Wellness of Katowah, PC
- Professional Occupational & Physical Therapy, PLLC
- Professional Orthopedic and Sports Physical Therapy, P.C.
- Shujaat Qayyum, M.D.
- Lara Valentine Quatinetz, D.O.
- Rosemary Quinn, LPN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.