Individual provider Active NPI

Erin McCarthy-Shaw, MSN, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1700218831
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
402324 Issued in NY
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

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
005414CTMDGeneral Practice Dentistry
4700CTMDRegistered Nurse
741263NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Erin McCarthy Shaw, Nurse Practitioner in Psychiatry, PLLC Psychiatric/Mental Health CurrentSince Sep 12, 2021 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.

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

Verify at the official NPI Registry.