Individual provider Active NPI

Barbara Carey-Shaw, PH.D.

  • Cognitive & Behavioral Psychologist
  • Brookhaven, NY
National Provider Identifier
1396166609
Registry record updated Jan 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X
License
012537-1 Issued in NY
Practice address
1 Astor Ave
Brookhaven, NY 11719-9760
Phone
(516) 241-3276
NPI assigned
Jan 5, 2014
Last updated
Jan 5, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X 012537-1 NY Primary

Addresses

Primary practice location

1 Astor Ave
Brookhaven, NY 11719-9760

Mailing address

1 Astor Ave
Brookhaven, NY 11719-9760
Phone (516) 241-3276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150526000581 NY Practitioner - Clinical Psychologist 3072837970 Reassigns benefits to 1 organization
Practice locations: Brookhaven, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Astor Ave
Brookhaven, NY 11719-9760
Phone (516) 241-3276

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
012537-1NYMDPhysician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1388880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388880000000",
    "number": "1396166609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ASTOR AVE",
            "city": "BROOKHAVEN",
            "state": "NY",
            "postal_code": "117199760",
            "telephone_number": "516-241-3276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ASTOR AVE",
            "city": "BROOKHAVEN",
            "state": "NY",
            "postal_code": "117199760",
            "telephone_number": "516-241-3276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAREY-SHAW",
        "first_name": "BARBARA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-05",
        "last_updated": "2014-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NY",
            "license": "012537-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, NY

Sources for this page

Verify at the official NPI Registry.