Dr. Brad Shamis & Associates, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PS005689L Issued in PA

Legal business name

DR. BRAD SHAMIS & ASSOCIATES, LLC

Practice address

7010 E Acoma Dr Ste 101
Scottsdale, AZ 85254-3550

Phone

(215) 752-2287

NPI assigned

Sep 14, 2006

Organization subpart

No

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

Authorized official

Name

Cathy Annunziata

Title

Billing Manager

Phone

(908) 223-1945

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradley Shamis, PH.D.

  • Clinical Psychologist
  • Scottsdale, AZ
  • NPI 1205859394

  PA

  Medicare reassignment Care Compare group NPD
• Gilbert Schwartz

  • Clinical Social Worker
  • Bensalem, PA
  • NPI 1609886050
  Medicare reassignment Care Compare group NPD
• Sheila Richman

  • Addiction (Substance Use Disorder) Counselor
  • Bensalem, PA
  • NPI 1477563856
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732579200000",
    "number": "1851496822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7028 E THUNDERBIRD RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852544049",
            "telephone_number": "215-752-2287",
            "fax_number": "215-322-6067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7010 E ACOMA DR STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852543550",
            "telephone_number": "215-752-2287"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4802 Neshaminy Blvd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Bensalem",
            "state": "PA",
            "postal_code": "190201041",
            "country_code": "US",
            "telephone_number": "215-752-2287",
            "fax_number": "215-322-6067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. BRAD SHAMIS & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A",
        "authorized_official_last_name": "ANNUNZIATA",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "908-223-1945"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "PA",
            "license": "PS005689L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Clinical Psychologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.