Active NPI
Alla Sheynkin, PSY. D.
- Clinical Psychologist
- New York, NY
National Provider Identifier
1831604743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 022460
- Practice address
- 150 East 58TH St
21St Floor, Self Works
New York, NY 10155 - Phone
- (347) 291-1104
- Fax
- (212) 213-4238
- NPI assigned
- Dec 14, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Child & Adolescent Psychologist | 103TC2200X | 022460 | NY | |
| Clinical Psychologist | 103TC0700X | 022460 | NY | Primary |
Addresses
Primary practice location
150 East 58TH St
21St Floor, Self Works
New York, NY 10155
Mailing address
1140 Broadway
Suite 204, Self Works
New York, NY 10001
Phone (347) 291-1106
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022460 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513209600000",
"number": "1831604743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1140 BROADWAY",
"address_2": "SUITE 204, SELF WORKS",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10001",
"telephone_number": "347-291-1106",
"fax_number": "212-213-4238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 EAST 58TH ST",
"address_2": "21ST FLOOR, SELF WORKS",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10155",
"telephone_number": "347-291-1104",
"fax_number": "212-213-4238"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEYNKIN",
"first_name": "ALLA",
"name_prefix": "Dr.",
"credential": "PSY. D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-14",
"last_updated": "2017-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "NY",
"license": "022460",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "022460",
"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 Dec 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.