Payal K Shah, M.D

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

25MA09960000 Issued in NJ

Practice address

318 Main St Ste 101a
Millburn, NJ 07041-1181

Phone

(973) 888-9172

NPI assigned

Apr 27, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Mind Power & Wellness, LLC

  • Child & Adolescent Psychiatry Physician
  • Millburn, NJ
  • NPI 1205552213
  NPD Authorized official

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665792000000",
    "number": "1710204086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 MAIN ST STE 101A",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411181",
            "telephone_number": "973-888-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 MAIN ST STE 101A",
            "city": "MILLBURN",
            "state": "NJ",
            "postal_code": "070411181",
            "telephone_number": "973-888-9172"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Commerce Dr",
            "address_purpose": "LOCATION",
            "city": "Cranford",
            "state": "NJ",
            "postal_code": "070163506",
            "country_code": "US",
            "telephone_number": "908-543-0220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "PAYAL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-27",
        "last_updated": "2022-10-15",
        "certification_date": "2022-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "269041",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NJ",
            "license": "25MA09960000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric K Seaman, MD
• Serenity Physical Therapy LLC
• Sethi Psychiatric Associates, LLC
• Himanshu Panalal Shah, MD
• Mehul N Shah, MD
• Shamji K Shah, MD
• Sharma Holistic Medical Center L.L.C.
• Zia Shey, DMD
• Stuart D. Shoengold, M.D.
• Short Hills Chiropractic LLC

• Child & Adolescent Psychiatry Physician in Millburn, NJ
• Providers in Millburn, NJ by specialty
• Child & Adolescent Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2022; 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.