Shyanne Ninham, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

011749 Issued in NY

Practice address

230 Park Ave South, 12TH Floor
Warner Bros. Discovery Health and Wellness Center
New York, NY 10003

Phone

(212) 548-5525

NPI assigned

Feb 11, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722

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.

• Premise Health of New York Medical PC

  dba Warner Bros. Discovery Health & Wellness Center at Park Avenue

  • Multi-Specialty Clinic/Center
  • New York, NY
  • NPI 1184164113
  NPD

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

{
    "created_epoch": "1644537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1407500028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 PARK AVE SOUTH",
            "address_2": "WARNER BROS. DISCOVERY HEALTH AND WELLNESS CENTER",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 PARK AVE SOUTH, 12TH FLOOR",
            "address_2": "WARNER BROS. DISCOVERY HEALTH AND WELLNESS CENTER",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10003",
            "telephone_number": "212-548-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NINHAM",
        "first_name": "SHYANNE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-11",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "011749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorna Ninan, FNP
• Priyanka Ninan
• Luis Cesar Ninaortega, M.D, MPH
• Josip Nincevic
• Ning-Yen Yao MD PC (Shady Grove New York Anesthesiologists)
• Santiago Nino Basto, M.D.
• Nino Marino Physician LLC
• Ireen Miras Ninonuevo, LCSW
• Kusuma Nio, M.D.
• Sumit Narayan Niogi, M.D., PH.D.

• Mental Health Counselor in New York, NY
• Providers in New York, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2024; 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.