Active NPI
Erin McCarthy-Shaw, MSN, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 402324
- Practice address
- 220 5TH Ave FL 11
New York, NY 10001-8017 - Phone
- (203) 349-9605
- Fax
- (203) 533-0766
- NPI assigned
- Jul 31, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 741263 | NY | |
| Registered Nurse | 163W00000X | 4700 | CT | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 402324 | NY | Primary |
Addresses
Primary practice location
220 5TH Ave FL 11
New York, NY 10001-8017
Mailing address
15 Trieble Avenue
Ste 5 PMB 420
Ballston Spa, NY 12020
Other practice location 1
95 Taylor Rd
Westport, NY 12993-3720
Phone (203) 349-9605
Other practice location 2
15 Trieble Ave Ste 5
Ballston Spa, NY 12020-6027
Phone (203) 349-9605
Other practice location 3
205 Main St Ste 1
Westport, CT 06880-3206
Phone (203) 349-9605
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 2, 2023 through Mar 2, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005414 | CT | MD | General Practice Dentistry |
| 4700 | CT | MD | Registered Nurse |
| 741263 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erin McCarthy Shaw, Nurse Practitioner in Psychiatry, PLLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
205 Main St
Ste 1
Westport, CT 06880
Phone (203) 349-9605
15 Trieble Ave
Ste 5
Ballston Spa, NY 12020
Phone (203) 349-9605
220 5th Ave
Fl 11
New York, NY 10001
Phone (212) 564-0480
Organizations & group practices 1
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Westport, CT
- NPI 1356911010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1700218831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 TRIEBLE AVENUE",
"address_2": "STE 5 PMB 420",
"city": "BALLSTON SPA",
"state": "NY",
"postal_code": "12020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "220 5TH AVE FL 11",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100018017",
"telephone_number": "203-349-9605",
"fax_number": "203-533-0766"
}
],
"practiceLocations": [
{
"address_1": "95 Taylor Rd",
"address_purpose": "LOCATION",
"city": "Westport",
"state": "NY",
"postal_code": "129933720",
"country_code": "US",
"telephone_number": "203-349-9605",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15 Trieble Ave Ste 5",
"address_purpose": "LOCATION",
"city": "Ballston Spa",
"state": "NY",
"postal_code": "120206027",
"country_code": "US",
"telephone_number": "203-349-9605",
"fax_number": "203-533-0766",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "205 Main St Ste 1",
"address_purpose": "LOCATION",
"city": "Westport",
"state": "CT",
"postal_code": "068803206",
"country_code": "US",
"telephone_number": "203-349-9605",
"fax_number": "203-533-0766",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCARTHY-SHAW",
"first_name": "ERIN",
"credential": "MSN, APRN, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-31",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "741263",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CT",
"license": "4700",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NY",
"license": "402324",
"primary": true
}
],
"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 Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.