Individual provider Active NPI

Shagufta Asar, M.S.ED.

  • School Psychologist
  • Wynantskill, NY
National Provider Identifier
1871979526
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
Practice address
614 Cooper Hill Rd
Wynantskill, NY 12198-2906
Phone
(518) 283-6500
NPI assigned
Aug 5, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20211208001240 NY Practitioner - Clinical Psychologist 5395135255 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Knapp Street Psychiatry, PC CurrentSince Dec 1, 2021 Accepting new patients
Che Senior Psychological Services, PC CurrentSince Dec 1, 2021 Accepting new patients

Locations

1915 Ocean Ave
Brooklyn, NY 11230
Phone (718) 258-7700

300 Cadman Plz W
Fl 12
Brooklyn Heights, NY 11201
Phone (212) 439-7955

250 Beach 17th St
Far Rockaway, NY 11691
Phone (516) 670-0212

209 Beach 125th St
Rockaway Park, NY 11694
Phone (516) 721-7625

135 Vanderbilt Ave
Staten Island, NY 10304
Phone (718) 447-0101

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
School Psychologist 103TS0200X NY Primary

Addresses

NPPES NPI Registry

Primary practice location

614 Cooper Hill Rd
Wynantskill, NY 12198-2906

Mailing address

614 Cooper Hill Rd
Wynantskill, NY 12198-2906

Other practice location 1

159 W 127th St
New York, NY 10027-3723
Phone (212) 752-7575

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 17, 2018.

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1871979526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 COOPER HILL RD",
            "city": "WYNANTSKILL",
            "state": "NY",
            "postal_code": "121982906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 COOPER HILL RD",
            "city": "WYNANTSKILL",
            "state": "NY",
            "postal_code": "121982906",
            "telephone_number": "518-283-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "159 W 127th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100273723",
            "country_code": "US",
            "telephone_number": "212-752-7575",
            "fax_number": "212-752-7564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASAR",
        "first_name": "SHAGUFTA",
        "credential": "M.S.ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-05",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynantskill, NY

Sources for this page

Verify at the official NPI Registry.