Rahman Rahim Shabazz, CT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P139753 Issued in NY

Practice address

2060 Fairport Nine Mile Point Rd Ste 400
Penfield, NY 14526-1749

Phone

(585) 388-6000

Fax

(585) 388-6004

NPI assigned

May 2, 2018

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1568951820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 FAIRPORT NINE MILE POINT RD STE 400",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145261749",
            "telephone_number": "585-388-6000",
            "fax_number": "585-388-6004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 FAIRPORT NINE MILE POINT RD STE 400",
            "city": "PENFIELD",
            "state": "NY",
            "postal_code": "145261749",
            "telephone_number": "585-388-6000",
            "fax_number": "585-388-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHABAZZ",
        "first_name": "RAHMAN",
        "middle_name": "RAHIM",
        "credential": "CT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-02",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P139753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherry Lee Schaefer
• Michelle Schrader, RPH
• Alison Schuppert, MD
• Nadia Ellen Sefein, RPH
• David Maurice Sell, LMT
• Joel A. Shamaskin, M.D.
• Matthew Christopher Sharpe, N.P.P., PMHNP-BC
• Kristen Sikora, RPH
• Aerin Skibinski
• Molly J Slisher, RN

• Mental Health Counselor in Penfield, NY
• Providers in Penfield, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2026; 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.