Shelby Vanderbrook, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

006696-01 Issued in NY

Practice address

26 E Main St Ste 201
Clifton Springs, NY 14432-1227

Phone

(315) 906-4042

NPI assigned

Aug 20, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Vanderbrook Chiropractic

  • Chiropractor
  • Clifton Springs, NY
  • NPI 1033779822
  NPD (past)

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

{
    "created_epoch": "1471651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1619422508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 583",
            "city": "CLIFTON SPRINGS",
            "state": "NY",
            "postal_code": "144320583",
            "telephone_number": "315-906-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 E MAIN ST STE 201",
            "city": "CLIFTON SPRINGS",
            "state": "NY",
            "postal_code": "144321227",
            "telephone_number": "315-906-4042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 Harvey Ave",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "PA",
            "postal_code": "156011913",
            "country_code": "US",
            "telephone_number": "724-205-6377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDERBROOK",
        "first_name": "SHELBY",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-20",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "AK001195",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "006696-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Ullrich, RN CDE
• Delacey Jane Underhill, LMSW
• Vanderbrook Chiropractic
• Gregory Vanderbrook, D.C.
• Kathleen Mattoon Vanderbrook, N.P.
• Samantha Hope Vitale, MSW
• Amanda Walters, LMT
• Wayne-Clifton Pharmacy Inc.
• Kimberly Moore Wesley, ANP
• J Diane West, MD

• Acupuncturist in Clifton Springs, NY
• Providers in Clifton Springs, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.