Active NPI
Shahla Gorovoy Psychologist PC
- Clinical Psychologist
- Middletown, NY
National Provider Identifier
1689482929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- SHAHLA GOROVOY PSYCHOLOGIST PC
- Practice address
- 225 Dolson Ave Ste 206a
Middletown, NY 10940-6570 - Phone
- (845) 342-6461
- Fax
- (845) 299-2984
- NPI assigned
- Dec 19, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shahla Gorovoy, PHD
- Title
- Owner
- Phone
- (845) 325-6202
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
225 Dolson Ave Ste 206a
Middletown, NY 10940-6570
Mailing address
180 Pine Tree Rd
Monroe, NY 10950-3964
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
225 Dolson Ave
Ste 206A
Middletown, NY 10940
Phone (845) 325-6202
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Middletown, NY
- NPI 1003143934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734566400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748390400000",
"number": "1689482929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 PINE TREE RD",
"city": "MONROE",
"state": "NY",
"postal_code": "109503964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 DOLSON AVE STE 206A",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109406570",
"telephone_number": "845-342-6461",
"fax_number": "845-299-2984"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHAHLA GOROVOY PSYCHOLOGIST PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-19",
"last_updated": "2025-05-28",
"certification_date": "2025-05-28",
"status": "A",
"authorized_official_last_name": "GOROVOY",
"authorized_official_first_name": "SHAHLA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "845-325-6202",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.