Joseph Peter Shaffery, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

013491 Issued in NY

Practice address

1441 Old Northern Blvd
Roslyn, NY 11576-2146

Phone

(516) 625-6846

Fax

(516) 625-6849

NPI assigned

Jan 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Allied Professional Partners SLP & Psychology PLLC

  • Psychologist
  • Plainview, NY
  • NPI 1063792430
  NPD
• Empress Ambulance Service LLC

  • Ambulance
  • Yonkers, NY
  • NPI 1003878596
  NPD (past)
• Federation Employment and Guidance Service, Inc

  • Developmental Disabilities Clinic/Center
  • New York, NY
  • NPI 1942243084
  NPD (past)
• Lifespire, Inc.

  • Voluntary or Charitable Agency
  • Hollis, NY
  • NPI 1164629788
  NPD (past)
• Lifespire, Inc.

  • Clinic/Center
  • New York, NY
  • NPI 1497709166
  NPD (past)

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

{
    "created_epoch": "1168732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720139108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 KALMIA ST",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117311213",
            "telephone_number": "631-912-9133",
            "fax_number": "631-912-9133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 OLD NORTHERN BLVD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115762146",
            "telephone_number": "516-625-6846",
            "fax_number": "516-625-6849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFERY",
        "first_name": "JOSEPH",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "013491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonika Seth
• Charles Daniel Severance, PA-C
• Alan Sezer, DDS
• SG Senior Living, LLC
• Hasan Shabazz
• Banny Shah, PT
• Joshua Scott Shapiro
• Stanley Gordon Shapiro, DO
• John Sheehan, D.M.D.
• Josselyn Sheer, PHD, LCSW

• Clinical Psychologist in Roslyn, NY
• Providers in Roslyn, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.