Barbara Carey-Shaw, PH.D.
Individual provider Active NPI Cognitive & Behavioral Psychologist · Brookhaven, NY
NPI 1396166609 · NPPES record last updated Jan 5, 2014
Key facts
- NPI
- 1396166609
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cognitive & Behavioral Psychologist 103TB0200X
- License
- 012537-1 (NY)
- Practice address
- 1 Astor Ave
Brookhaven, NY 11719-9760 - Phone
- (516) 241-3276
- NPI assigned
- Jan 5, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150526000581 | NY | Practitioner - Clinical Psychologist | 3072837970 |
Reassigns benefits to 1 organization Practice locations: Brookhaven, NY |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012537-1 | NY | MD | Cognitive & Behavioral Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 012537-1 | NY | Yes |
Addresses
Primary practice location
1 Astor Ave
Brookhaven, NY 11719-9760
Mailing address
1 Astor Ave
Brookhaven, NY 11719-9760
Phone (516) 241-3276
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VB8692 | Medicaid | NY |
Other providers in Brookhaven, NY
- Jennifer Leigh Baumann
- Bellhaven Center for Geriatric & Rehabilitative Care Inc
- Bellhaven Management LLC
- Brookhaven Ambulance Co., Inc.
- Brookhaven Care Center
- Donald Carey-Shaw I
- Michelle Cavaleri
- Claudia Taylor DC PC
- Patricia Ann Collins-Collier
- Danielle Cordaro
All providers in Brookhaven, NY · Cognitive & Behavioral Psychologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 5, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.