Active NPI
Gerard F Shaw, ED.D.
- Psychoanalysis Psychologist
- New York, NY
National Provider Identifier
1811028749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalysis Psychologist
- License
- 0072
- Practice address
- 45 W 34TH St
Suite 710
New York, NY 10001-3008 - Phone
- (212) 594-4730
- NPI assigned
- Mar 9, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychoanalysis Psychologist | 103TP0814X | 0072 | NY | Primary |
Addresses
Primary practice location
45 W 34TH St
Suite 710
New York, NY 10001-3008
Mailing address
294 Argyle Rd
Brooklyn, NY 11218-4302
Phone (718) 941-7201
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 |
|---|---|---|---|
| 0072 | NY | MD | Psychoanalysis Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811028749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "294 ARGYLE RD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112184302",
"telephone_number": "718-941-7201",
"fax_number": "718-941-0541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 W 34TH ST",
"address_2": "SUITE 710",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100013008",
"telephone_number": "212-594-4730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "GERARD",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TP0814X",
"taxonomy_group": "",
"desc": "Psychologist, Psychoanalysis",
"state": "NY",
"license": "0072",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- 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.