Elizabeth Anne Shorin, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

014733-1 Issued in NY

Practice address

445 E 80TH St Apt 12J
New York, NY 10075-0608

Phone

(917) 929-3498

NPI assigned

Sep 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1528166303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 E 80TH ST APT 12J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750608",
            "telephone_number": "917-929-3498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 E 80TH ST APT 12J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100750608",
            "telephone_number": "917-929-3498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2350 Broadway",
            "address_2": "Suite 223 A",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100243214",
            "country_code": "US",
            "telephone_number": "917-929-3498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHORIN",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "014733-1",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "014733-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared Brett Shore, DMD
• Rosalie Shore, MSW
• Tsiporah B Shore, MD
• Andrew Shoreibah, PT, DPT
• Eran Frank Shorer, MBCHB MSC
• Morris Shorofsky, M.D.
• Evan Shorr
• Ashley Jordon Short, OTR/L
• Briana Therese Short, M.D.
• Cassandra Short, LPN

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.