Individual provider Active NPI

Rita Shaughnessy, MD

  • Psychiatry Physician
  • Philadelphia, PA
National Provider Identifier
1548297906
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD055210L Issued in PA
Practice address
2418 E York St
Philadelphia, PA 19125-3006
Phone
(833) 351-8255
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 319979 NY
Psychiatry Physician 2084P0800X MD055210L PA Primary

Addresses

Primary practice location

2418 E York St
Philadelphia, PA 19125-3006

Mailing address

109 W 27TH St
New York, NY 10001-0265
Phone (215) 714-3418

Other practice location 1

109 W 27th St Ste 5S
New York, NY 10001-6208
Phone (833) 351-8255

Other identifiers 1

IdentifierTypeStateIssuer
001643570MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100809000272 PA Practitioner - Psychiatry 3173656394 Reassigns benefits to 4 organizations
I20221122002443 NY Practitioner - Psychiatry 3173656394 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCCD FL Psychiatry Services PAGroup PAC ID 4880064070, 751 clinicians

Practice addresses (Care Compare)

2418 E York St
Talkiatry
Philadelphia, PA 19125-3006
Phone (833) 351-8255

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
319979NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Drexel Academic Medical Group LLC Current Accepting new patients
Tower Drexel Academic Medical Group LLC CurrentSince Apr 1, 2020 Accepting new patients
MCCD Psychiatry Services PLLC Psychiatry CurrentSince Jul 8, 2022 Accepting new patients
Drexel University CurrentSince Jul 1, 2014 Accepting new patients
MCCD FL Psychiatry Services PA Psychiatry CurrentSince Jan 1, 2023 Accepting new patients
Tower Drexel Academic Medical Group LLC Psychiatry CurrentSince Apr 1, 2020 Accepting new patients
Drexel University CurrentSince Jul 1, 2014 Accepting new patients
Drexel University Current Accepting new patients
MCCD NJ Psychiatry Services PLLC Psychiatry PastSince Apr 20, 2025 Accepting new patients

Locations

109 W 27th St
New York, NY 10001
Phone (332) 206-6054

109 W 27th St
#55
New York, NY 10001

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

1900 Market St
Ofc 6167
Philadelphia, PA 19103

4641 E Roosevelt Blvd
Philadelphia, PA 19124
Phone (215) 831-4600

219 N Broad St
Fl 6
Philadelphia, PA 19107
Phone (215) 762-5037

1601 Cherry St
Ste 11511
Philadelphia, PA 19102

1427 Vine St
Fl 2
Philadelphia, PA 19102
Phone (215) 762-2530

1427 Vine St
Fl 1
Philadelphia, PA 19102
Phone (267) 507-6581

1427 Vine St
Fl 8
Philadelphia, PA 19102
Phone (215) 762-6660

2418 E York St
Philadelphia, PA 19125
Phone (215) 575-5906

Organizations & group practices 9

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1548297906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 W 27TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100010265",
            "telephone_number": "215-714-3418",
            "fax_number": "888-815-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2418 E YORK ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191253006",
            "telephone_number": "833-351-8255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 W 27th St Ste 5S",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100016208",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAUGHNESSY",
        "first_name": "RITA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "319979",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD055210L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001643570",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.