Shayne McKinsey, PH.D., LPC
Individual provider Active NPI School Psychologist · Atlantic Highlands, NJ
NPI 1497039333 · NPPES record last updated Oct 10, 2011
Key facts
- NPI
- 1497039333
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Psychologist 103TS0200X
- License
- 37PC00311200 (NJ)
- Practice address
- 5 Withers LN
Atlantic Highlands, NJ 07716-2248 - Phone
- (732) 768-0612
- NPI assigned
- Oct 10, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00311200 | NJ | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00311200 | NJ | |
| School Psychologist | 103TS0200X | 37PC00311200 | NJ | Yes |
Addresses
Primary practice location
5 Withers LN
Atlantic Highlands, NJ 07716-2248
Mailing address
5 Withers LN
Atlantic Highlands, NJ 07716-2248
Phone (732) 768-0612
Other providers in Atlantic Highlands, NJ
- Alan Earl Matonti
- Erolina Matthews
- Ariel Renee Mayer
- John Joseph Mazzella
- Lisa McCarthy
- MD Medical Group
- Nicole Marie Mednis
- Kathleen Mickel
- Elizabeth Milewski
- Joseph Louis Monaco
All providers in Atlantic Highlands, NJ · School Psychologist in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 10, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.