Individual provider Active NPI

Priyanka Shokeen, PHD

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1760059406
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
P107397 Issued in NY
Practice address
2920 Broadway FL Hall8
New York, NY 10027-7164
Phone
(212) 854-2878
NPI assigned
Jun 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X P107397 NY Primary

Addresses

Primary practice location

2920 Broadway FL Hall8
New York, NY 10027-7164

Mailing address

2920 Broadway FL Hall8
New York, NY 10027-7164
Phone (212) 854-2878

Other identifiers 1

IdentifierTypeStateIssuer
P107397OtherNYASPPB

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ps3221@cumc.columbia.edu Health Information Exchange (HIE)

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 25, 2026 through Mar 25, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
P107397NYMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1760059406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2920 BROADWAY FL HALL8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100277164",
            "telephone_number": "212-854-2878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 BROADWAY FL HALL8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100277164",
            "telephone_number": "212-854-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOKEEN",
        "first_name": "PRIYANKA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "P107397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASPPB",
            "identifier": "P107397",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ps3221@cumc.columbia.edu",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2920 Broadway Fl Hall8",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100277164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.