Individual provider Active NPI

Farnaz Seyal Shah, EDD

  • Psychologist
  • White Plains, NY
National Provider Identifier
1609939040
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
015499-1 Issued in NY
Practice address
1 Summit Ave
White Plains, NY 10606-3003
Phone
(914) 948-8004
Fax
(914) 289-0566
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 015499-1 NY Primary

Addresses

Primary practice location

1 Summit Ave
White Plains, NY 10606-3003

Mailing address

1 Summit Ave
White Plains, NY 10606-3003
Phone (914) 948-8004

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050405001318 NY Practitioner - Clinical Psychologist 9032166681 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Family Services of Westchester, Inc.Group PAC ID 1153216049, 13 clinicians

Practice addresses (Care Compare)

1 Gateway Plaza
4TH Floor
Port Chester, NY 10573-4674

1 Gateway PLZ
Suite 301
Port Chester, NY 10573-4674
Phone (914) 241-2241

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
015499-1NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Services of Westchester, Inc. CurrentSince Nov 20, 2011 Accepting new patients
Family Services of Westchester, Inc. Past Accepting new patients

Locations

1 Gateway Plz
Ste 301
Port Chester, NY 10573
Phone (914) 241-2241

1 Gateway Plz
Fl 4
Port Chester, NY 10573
Phone (914) 305-6859

2975 Westchester Ave
Ste 401
Purchase, NY 10577
Phone (914) 948-8004

1 Summit Ave
White Plains, NY 10606
Phone (914) 948-8004

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609939040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SUMMIT AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106063003",
            "telephone_number": "914-948-8004",
            "fax_number": "914-289-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SUMMIT AVE",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106063003",
            "telephone_number": "914-948-8004",
            "fax_number": "914-289-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAH",
        "first_name": "FARNAZ",
        "middle_name": "SEYAL",
        "credential": "EDD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "015499-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.