Active NPI
Marilyn Shendell, PSYD
- Psychologist
- White Plains, NY
National Provider Identifier
1467510628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 010316
- Practice address
- 20 Old Mamaroneck Rd
White Plains, NY 10605-2060 - Phone
- (914) 328-0636
- Fax
- (914) 273-5687
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 010316 | NY | Primary |
Addresses
Primary practice location
20 Old Mamaroneck Rd
White Plains, NY 10605-2060
Mailing address
7 Sunrise Dr
Armonk, NY 10504-1439
Phone (914) 273-5582
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010316 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467510628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 SUNRISE DR",
"city": "ARMONK",
"state": "NY",
"postal_code": "105041439",
"telephone_number": "914-273-5582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 OLD MAMARONECK RD",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106052060",
"telephone_number": "914-328-0636",
"fax_number": "914-273-5687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHENDELL",
"first_name": "MARILYN",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "010316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.