Active NPI
Robin B Shaw, PH.D.
- Psychologist
- Brooklyn, NY
National Provider Identifier
1619001047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 014741
- Practice address
- 294 Argyle Rd
Brooklyn, NY 11218-4302 - Phone
- (718) 941-7201
- NPI assigned
- Mar 15, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 014741 | NY | Primary |
| Psychoanalysis Psychologist | 103TP0814X | 000279 | NY |
Addresses
Primary practice location
294 Argyle Rd
Brooklyn, NY 11218-4302
Mailing address
294 Argyle Rd
Brooklyn, NY 11218-4302
Phone (718) 941-7201
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171117002025 | NY | Practitioner - Clinical Psychologist | 8123175957 | Practice locations: Brooklyn, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
294 Argyle Rd
Brooklyn, NY 11218-4302
Phone (718) 941-7201
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000279 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184112000000",
"number": "1619001047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "294 ARGYLE RD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112184302",
"telephone_number": "718-941-7201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "294 ARGYLE RD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112184302",
"telephone_number": "718-941-7201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "ROBIN",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-15",
"last_updated": "2007-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NY",
"license": "014741",
"primary": true
},
{
"code": "103TP0814X",
"taxonomy_group": "",
"desc": "Psychologist, Psychoanalysis",
"state": "NY",
"license": "000279",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.