Charity Ann Shoen

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

23 Maple St
Massena, NY 13662-1017

Phone

(315) 769-8441

Fax

(315) 769-3902

NPI assigned

Oct 26, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• St. Lawrence Psychiatric Center

  • Psychiatric Hospital
  • Massena, NY
  • NPI 1700258159
  NPD (past)

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445817600000",
    "number": "1962874255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 MAPLE ST",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136621017",
            "telephone_number": "315-769-8441",
            "fax_number": "315-769-3902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 MAPLE ST",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136621017",
            "telephone_number": "315-769-8441",
            "fax_number": "315-769-3902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOEN",
        "first_name": "CHARITY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-26",
        "last_updated": "2015-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl Richard Scruggs Jr., DDS
• Seaway Chiropractic, P.C.
• Seaway Orthopedics, PC
• Excelsa Serabian, D.D.S
• Sanjay N Shah, M.D.
• Cory R. Shutts
• Jake Singer, PHARM D
• Birinder S Singh, MD
• Kimberly Ann Sirles, DOULA
• Stephen D Smith, OD

• Counselor in Massena, NY
• Providers in Massena, NY by specialty
• Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.