Active NPI
Debra O'Shea, PSYD
- Clinical Psychologist
- New York, NY
National Provider Identifier
1659526671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 017640
- Practice address
- 138 W 25TH St
Suite 802
New York, NY 10001-7405 - Phone
- (212) 561-0710
- NPI assigned
- Nov 18, 2008
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 017640 | NY | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 017640 | NY |
Addresses
Primary practice location
138 W 25TH St
Suite 802
New York, NY 10001-7405
Mailing address
138 W 25TH St
Suite 802
New York, NY 10001-7405
Phone (212) 561-0710
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017640 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1226966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290470400000",
"number": "1659526671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 W 25TH ST",
"address_2": "SUITE 802",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100017405",
"telephone_number": "212-561-0710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 W 25TH ST",
"address_2": "SUITE 802",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100017405",
"telephone_number": "212-561-0710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'SHEA",
"first_name": "DEBRA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-18",
"last_updated": "2010-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "017640",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NY",
"license": "017640",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.