Shellbrook Psychological Services, PC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

SHELLBROOK PSYCHOLOGICAL SERVICES, PC

Practice address

402 Linden St
West Hempstead, NY 11552-2515

Phone

(917) 676-5113

Fax

(561) 539-7990

NPI assigned

Jan 18, 2023

Last updated

Sep 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sheldon B Stern, PSYDNPI 1710084470

Title

Psychologist

Phone

(646) 220-7227

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sheldon B. Stern, PSY.D.

  • Health Service Psychologist
  • West Hempstead, NY
  • NPI 1710084470
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1417662107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 LINDEN ST",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115522515",
            "telephone_number": "917-676-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 LINDEN ST",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115522515",
            "telephone_number": "917-676-5113",
            "fax_number": "561-539-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELLBROOK PSYCHOLOGICAL SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-18",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "STERN",
        "authorized_official_first_name": "SHELDON",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "646-220-7227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26482",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOH",
            "identifier": "26482",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Shamsian, DPT
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• Marwa Shellah
• Aaliya Shabbirali Shivji
• Deborah L Shor Pfeffer
• Rebecca T Shulman, DPT
• Sigma Transportation Inc
• Signature Eyecare, LLC (Cohens Fashion Optical)

• Psychologist in West Hempstead, NY
• Providers in West Hempstead, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.