Active NPI
Shine Psychotherapy LCSW, P.C.
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rye, NY
National Provider Identifier
1376023077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- SHINE PSYCHOTHERAPY LCSW, P.C.
- Practice address
- 222 Purchase St # 335
Rye, NY 10580-2101 - Phone
- (347) 512-2236
- NPI assigned
- Aug 21, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jumana M Grassi, LCSW, CASAC
- Title
- Therapist
- Phone
- (347) 512-2236
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
222 Purchase St # 335
Rye, NY 10580-2101
Mailing address
85 Livingston St Apt 4J
Brooklyn, NY 11201-5017
Other practice location 1
280 Madison Ave Rm 202
New York, NY 10016-0816
Phone (347) 512-2236
National Provider Directory
National Provider DirectoryLocations
222 Purchase St
#335
Rye, NY 10580
Phone (347) 512-2236
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Rye, NY
- NPI 1609281542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597190400000",
"number": "1376023077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 LIVINGSTON ST APT 4J",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112015017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 PURCHASE ST # 335",
"city": "RYE",
"state": "NY",
"postal_code": "105802101",
"telephone_number": "347-512-2236"
}
],
"practiceLocations": [
{
"address_1": "280 Madison Ave Rm 202",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100160816",
"country_code": "US",
"telephone_number": "347-512-2236",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SHINE PSYCHOTHERAPY LCSW, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-21",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A",
"authorized_official_last_name": "GRASSI",
"authorized_official_first_name": "JUMANA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "347-512-2236",
"authorized_official_credential": "LCSW, CASAC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rye, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.