Organization Active NPI

Shine Psychotherapy LCSW, P.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rye, NY
National Provider Identifier
1376023077
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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

Updated by the provider on Aug 12, 2020

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

Authorized official

Name
Jumana M Grassi, LCSW, CASACNPI 1609281542
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.