Active NPI
Young J Shin, M.D.
- Psychiatry Physician
- Poughkeepsie, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 133560
- Practice address
- 230 North Rd
Poughkeepsie, NY 12601 - Phone
- (802) 461-6851
- NPI assigned
- Jan 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 133560 | NY | Primary |
Addresses
Primary practice location
230 North Rd
Poughkeepsie, NY 12601
Mailing address
29 N Hamilton St
Poughkeepsie, NY 12601-2541
Other practice location 1
389 Hooker Ave
Poughkeepsie, NY 12603-3633
Phone (845) 471-2229
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: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
230 N Rd
Poughkeepsie, NY 12601-1328
Phone (845) 486-2703
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access: Supports for Living Inc. | Current | Accepting new patients | |
| Family Services, Inc. | Psychiatry | Current | Accepting new patients |
| Access: Supports for Living Inc | Current | Accepting new patients | |
| Neil I. Teicher, L.C.S.W. | Past | Accepting new patients |
Locations
223 Main St
Beacon, NY 12508
Phone (845) 838-4900
67 Windsor Hwy
Newburgh, NY 12553
Phone (845) 562-6850
29 N Hamilton St
Poughkeepsie, NY 12601
Phone (845) 452-1110
230 North Rd
Poughkeepsie, NY 12601
Phone (845) 452-0774
15 Fortune Rd W
Scotchtown, NY 10941
Phone (845) 673-7123
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Poughkeepsie, NY
- NPI 1316939457
Psychiatry
-
- Multi-Specialty Clinic/Center
- Middletown, NY
- NPI 1528174976
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Middletown, NY
- NPI 1790326320
-
- Clinical Social Worker
- Poughkeepsie, NY
- NPI 1285905661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542672000000",
"number": "1447220884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 N HAMILTON ST",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126012541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 NORTH RD",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "12601",
"telephone_number": "802-461-6851"
}
],
"practiceLocations": [
{
"address_1": "389 Hooker Ave",
"address_purpose": "LOCATION",
"city": "Poughkeepsie",
"state": "NY",
"postal_code": "126033633",
"country_code": "US",
"telephone_number": "845-471-2229",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHIN",
"first_name": "YOUNG",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-26",
"last_updated": "2018-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "133560",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.