Shelter Rock Psychiatric Services, P.C.

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

128697 Issued in NY

Legal business name

SHELTER ROCK PSYCHIATRIC SERVICES, P.C.

Practice address

580 Sunrise Hwy
West Babylon, NY 11704-6000

Phone

(631) 321-7697

Fax

(631) 321-6140

NPI assigned

Aug 9, 2010

Last updated

Aug 9, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jack Nass, M.D.NPI 1467464255

Title

President

Phone

(631) 321-7697

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jack Nass, M.D.

  • Psychiatry Physician
  • West Babylon, NY
  • NPI 1467464255
  NPD (past) Authorized official

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281312000000",
    "number": "1700191293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 SUNRISE HWY",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117046000",
            "telephone_number": "631-321-7697",
            "fax_number": "631-321-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 SUNRISE HWY",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117046000",
            "telephone_number": "631-321-7697",
            "fax_number": "631-321-6140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHELTER ROCK PSYCHIATRIC SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-09",
        "last_updated": "2010-08-09",
        "status": "A",
        "authorized_official_last_name": "NASS",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-321-7697",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NY",
            "license": "128697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE NUMBER",
            "identifier": "128697",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barry Shapiro, MS-CCC-SLP
• Candace Lynn Shapiro, LCSW
• Tamara I Shashiashvili, D.O.
• Karen Theresa Shaughnessy, OTR/L
• Eamon Sheerin
• Eunhye Shin
• Laura Anne Shortmeyer, RN
• Carolyn Justine Shurman
• Robert V Sica, DO
• Sameen Shahid Siddiqui

• Geriatric Psychiatry Physician in West Babylon, NY
• Providers in West Babylon, NY by specialty
• Geriatric Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 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.

Verify at the official NPI Registry.