Shira Elizabeth Schaktman, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35S100488300 Issued in NJ

Practice address

50 N Tulane St
Princeton, NJ 08542-6912

Phone

(908) 510-6325

NPI assigned

Jun 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Shira Elizabeth Walter Former name

Medicare fee-for-service enrollment

Enrolled in NJ

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• New Jersey Behavioral Health P.C

  • Psychologist
  • Princeton Junction, NJ
  • NPI 1538744297
  Medicare reassignment NPD
• PHC of Buffalo Grove Clinical Psychology

  • Psychologist
  • Vernon Hills, IL
  • NPI 1235430612
  NPD (past)

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705017600000",
    "number": "1902001092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 N TULANE ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085426912",
            "telephone_number": "609-474-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 N TULANE ST",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085426912",
            "telephone_number": "908-510-6325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "88 Princeton Hightstown Rd",
            "address_purpose": "LOCATION",
            "city": "Princeton Junction",
            "state": "NJ",
            "postal_code": "085501100",
            "country_code": "US",
            "telephone_number": "732-982-2888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHAKTMAN",
        "first_name": "SHIRA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100488300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHIRA",
            "last_name": "WALTER",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Saz Health LLC
• Amber Scalera, LCSW, LCADC
• David Lynn Scasta, M.D.
• Mark Allen Schaeffer, M.D.
• Laura Schafer, M.D.
• Allison J Scharf, D.C.
• Roberta E Scharff, P.T.
• Elizabeth Anne Scheff, M.D.
• Kelly Scheiderman, BCBA
• Brian W Scheno, PA-C

• Clinical Psychologist in Princeton, NJ
• Providers in Princeton, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.