Dr. Shan Psychiatry Clinic LLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

MD421627 Issued in PA

Legal business name

DR. SHAN PSYCHIATRY CLINIC LLC

Practice address

756 Adams Ave
Philadelphia, PA 19124-2330

Phone

(215) 533-3660

Fax

(215) 533-3682

NPI assigned

Dec 12, 2008

Organization subpart

No

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

Authorized official

Name

Yang Shan, M.D.NPI 1841243003

Title

Director

Phone

(215) 533-3660

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 2

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

• Yang Shan, M.D.

  • Psychiatry Physician
  • Lansdale, PA
  • NPI 1841243003
  Medicare reassignment NPD Authorized official
• Ying Shan, LPC

  • Professional Counselor
  • Philadelphia, PA
  • NPI 1205359445
  NPD

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229040000000",
    "number": "1861637381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "756 ADAMS AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242330",
            "telephone_number": "215-533-3660",
            "fax_number": "215-533-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "756 ADAMS AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191242330",
            "telephone_number": "215-533-3660",
            "fax_number": "215-533-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SHAN PSYCHIATRY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-12",
        "last_updated": "2008-12-12",
        "status": "A",
        "authorized_official_last_name": "SHAN",
        "authorized_official_first_name": "YANG",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "215-533-3660",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "PA",
            "license": "MD421627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Robin Lowey & Associates LLC
• Dr. Robin Lowey & Associates Psychological Services
• Dr. Ronald Small, D.P.M., P.C.
• Dr. Sarah Taylor Licensed Psychologist PC
• Dr. Sari Fleischman
• Dr. Sidney Brenner Associates
• Dr. Steven Solow DMD PC
• Dr. Steven Solow DMD PC
• Dr. Usha B. Desai, MD, PC
• Dr. Victor Jay Barouh

• Clinical Neuropsychologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Clinical Neuropsychologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2008; 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.