Active NPI
David Shipper Mental Health Counselor PC
- Mental Health Counselor
- West Nyack, NY
National Provider Identifier
1396217709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- DAVID SHIPPER MENTAL HEALTH COUNSELOR PC
- Practice address
- 719 W Nyack Rd Ste 44
West Nyack, NY 10994-2241 - Phone
- (914) 907-8449
- NPI assigned
- Dec 23, 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
- Mr. David Shipper, LMHC
- Title
- Owner
- Phone
- (914) 907-8449
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 Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
719 W Nyack Rd Ste 44
West Nyack, NY 10994-2241
Mailing address
36 Calvert Dr
Monsey, NY 10952-2125
National Provider Directory
National Provider DirectoryLocations
719 W Nyack Rd
Ste 44
West Nyack, NY 10994
Phone (914) 907-8449
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Monsey, NY
- NPI 1952769515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545523200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1545523200000",
"number": "1396217709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 CALVERT DR",
"city": "MONSEY",
"state": "NY",
"postal_code": "109522125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 W NYACK RD STE 44",
"city": "WEST NYACK",
"state": "NY",
"postal_code": "109942241",
"telephone_number": "914-907-8449"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID SHIPPER MENTAL HEALTH COUNSELOR PC",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-23",
"last_updated": "2018-12-23",
"status": "A",
"authorized_official_last_name": "SHIPPER",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "914-907-8449",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Nyack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.