Individual provider Active NPI

Shaynna Nicole Digiovanni, PHD

  • Clinical Psychologist
  • Glen Rock, NJ
National Provider Identifier
1467839738
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00755100 Issued in NJ
Practice address
7 Oxford PL
Glen Rock, NJ 07452-2021
Phone
(973) 687-6038
NPI assigned
May 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 023257 NY
Clinical Psychologist 103TC0700X 35SI00755100 NJ Primary

Addresses

Primary practice location

7 Oxford PL
Glen Rock, NJ 07452-2021

Mailing address

7 Oxford PL
Glen Rock, NJ 07452-2021
Phone (973) 687-6038

Other practice location 1

1240 Park Ave
New York, NY 10128-1753
Phone (973) 687-6038

Other names 1

  • Dr. Shaynna Nicole Herrera Former name

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230526002208 NY Practitioner - Clinical Psychologist 3577920099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, 2,809 clinicians

Practice addresses (Care Compare)

1425 Madison Ave
New York, NY 10029-6514
Phone (212) 824-8150

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35SI00755100NJMDClinical Psychologist
023257NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Begin Behavioral Health CurrentSince Aug 3, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince May 18, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince May 18, 2023 Accepting new patients

Locations

150 E 42nd St
#2
New York, NY 10017

1425 Madison Ave
New York, NY 10029
Phone (212) 824-8150

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1467839738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 OXFORD PL",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074522021",
            "telephone_number": "973-687-6038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 OXFORD PL",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074522021",
            "telephone_number": "973-687-6038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1240 Park Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101281753",
            "country_code": "US",
            "telephone_number": "973-687-6038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIGIOVANNI",
        "first_name": "SHAYNNA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-06",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "023257",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00755100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAYNNA",
            "last_name": "HERRERA",
            "middle_name": "NICOLE",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Glen Rock, NJ

Sources for this page

Verify at the official NPI Registry.