Active NPI
Yubin Shin, LMHC-LP
- Addiction (Substance Use Disorder) Counselor
- Valley Cottage, NY
National Provider Identifier
1790244085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 009494
- Practice address
- 140 Route 303
Valley Cottage, NY 10989-5906 - Phone
- (917) 621-5216
- NPI assigned
- Mar 15, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 009494 | NY | Primary |
Addresses
Primary practice location
140 Route 303
Valley Cottage, NY 10989-5906
Mailing address
15038 28TH Ave # 2
Flushing, NY 11354-1555
Phone (917) 621-5216
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | shiny@mharockland.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 009494 | NY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552608000000",
"number": "1790244085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15038 28TH AVE # 2",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113541555",
"telephone_number": "917-621-5216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 ROUTE 303",
"city": "VALLEY COTTAGE",
"state": "NY",
"postal_code": "109895906",
"telephone_number": "917-621-5216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIN",
"first_name": "YUBIN",
"credential": "LMHC-LP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-15",
"last_updated": "2019-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "009494",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "shiny@mharockland.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "140 Route 303",
"city": "Valley Cottage",
"state": "NY",
"country_code": "US",
"postal_code": "109895906",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Valley Cottage, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.