Victoria Shaw, PHD, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

002408 Issued in CT

Practice address

3 Hollyhock Rd
2ND Floor
Wilton, CT 06897-4443

Phone

(203) 254-3403

Fax

(203) 254-3403

NPI assigned

Dec 7, 2013

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

Credentials

Doctor of Philosophy

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23500/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1386374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386374400000",
    "number": "1740611367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 STURGES HOLW",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068802851",
            "telephone_number": "203-254-3403",
            "fax_number": "203-254-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 HOLLYHOCK RD",
            "address_2": "2ND FLOOR",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068974443",
            "telephone_number": "203-254-3403",
            "fax_number": "203-254-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "VICTORIA",
        "credential": "PHD, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-07",
        "last_updated": "2013-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "002408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Seebeck, DNP, AGNP-C
• Craig David Serin, M.D.
• Amara Shafi
• Meghna Shah
• Mary Elizabeth Shaheen, MSOTR/L
• Richard Sheinbaum, MD
• Surekha Shenoy, MD
• Xin Wen Shi, PT
• Brandon Stuart Shulman, M.D.
• Kurt Sierer

• Professional Counselor in Wilton, CT
• Providers in Wilton, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2013; 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.