JONATHAN SHAW PMHNP NPI 1023641743

NPI Information

NPI: 1023641743
Provider Name: JONATHAN SHAW, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
1509 WILSON TER
GLENDALE, CA
ZIP 91206
Phone: (818) 409-8000
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Jonathan Shaw, PMHNP is a psychiatric/mental health nurse practitioner in Glendale, CA. Jonathan Shaw, PMHNP NPI is 1023641743. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1509 WILSON TER
GLENDALE, CA
ZIP 91206-007
Phone: (818) 409-8000

The enumeration date for this NPI number is 2/20/2020 and was last updated on 1/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	95017588	CALIFORNIA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	836571	NEVADA	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	47689	WYOMING	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	202108944NP-PP	OREGON	No
5	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP61160807	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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