Active NPI
Shielagh Shusta-Hochberg, PH.D.
- Psychologist
- New York, NY
National Provider Identifier
1376573493
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 012607-01
- Practice address
- 113 University PL
10TH Floor, Suite 1009
New York, NY 10003-4527 - Phone
- (212) 777-0775
- NPI assigned
- Jul 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 012607-01 | NY | Primary |
Addresses
Primary practice location
113 University PL
10TH Floor, Suite 1009
New York, NY 10003-4527
Mailing address
113 University PL
10TH Floor, Suite 1009
New York, NY 10003-4527
Phone (212) 777-0775
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P984095 | Other | NY | OXFORD- CLINICAL PSYCHOLO |
| 01622233 | Medicaid | NY |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012607-01 | NY | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pocono Psychiatric Associates | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- East Stroudsburg, PA
- NPI 1144709809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1376573493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 UNIVERSITY PL",
"address_2": "10TH FLOOR, SUITE 1009",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100034527",
"telephone_number": "212-777-0775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 UNIVERSITY PL",
"address_2": "10TH FLOOR, SUITE 1009",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100034527",
"telephone_number": "212-777-0775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUSTA-HOCHBERG",
"first_name": "SHIELAGH",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "012607-01",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD- CLINICAL PSYCHOLO",
"identifier": "P984095",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01622233",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.