Janet Marie Shortall

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

950 Danby Rd Ste 202F
Ithaca, NY 14850-5714

Phone

(607) 260-3100

Fax

(607) 241-9972

NPI assigned

Apr 19, 2023

Last updated

Jan 15, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mindwell Psychology, LLP

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ithaca, NY
  • NPI 1255944377
  NPD
• Mindwell Psychological Assessment, LLP

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Latham, NY
  • NPI 1902536410
  NPD (past)

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1568159705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 DANBY RD STE 202F",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505714",
            "telephone_number": "607-260-3100",
            "fax_number": "607-241-9972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 DANBY RD STE 202F",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "148505714",
            "telephone_number": "607-260-3100",
            "fax_number": "607-241-9972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORTALL",
        "first_name": "JANET",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-19",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Shevchuk, PA-C
• Timothy Jay Shevlin Jr.
• Thomas L Shields, DDS
• Stacey L Shipe, PHD
• Michelle Leigh Shippos, LCSW
• Lynn M Shreve, R.N.
• Amitabh Shrivastava, M.D.
• Susan Grace Shrog, LCSW
• Paw Ta Shue
• Colleen Shuler

• Student in an Organized Health Care Education/Training Program in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.