Maureen T. Shea, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

012000 Issued in NY

Practice address

586 Rte. 25a
Rocky Point, NY 11778-7006

Phone

(631) 929-0691

NPI assigned

Jul 31, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

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.

• Maureen T. Shea LMSW Psychologist PC

  • Clinical Psychologist
  • Rocky Point, NY
  • NPI 1033356092
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503619200000",
    "number": "1609007129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 5221",
            "address_2": "856 ROUTE 25A",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117787006",
            "telephone_number": "631-929-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "586 RTE. 25A",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117787006",
            "telephone_number": "631-929-0691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "MAUREEN",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-31",
        "last_updated": "2017-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "012000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01653218",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Nicole Schnettler, RN, IBCLC
• John M Schwartzberg, D.O.
• Shannon Marie Scofield, LPN
• Jill M Setaro, ACNS-BC
• Victoria Elena Shack, DDS
• Scott C Sherman, MD
• Sherrie Glasser Physical Therapy John Douglas Physical Therapy
• Carol Anne Sherwood, LCSW
• Su Ah Shin
• Karen Dianne Shurtluff, R.N.

• Clinical Psychologist in Rocky Point, NY
• Providers in Rocky Point, 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 Aug 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.