GARY EDWARD SHIELDS NPI 1497228894

NPI Information

  • NPI: 1497228894
  • Provider Name: GARY EDWARD SHIELDS
  • Classification: Registered Nurse - 163WP0807X
  • Specialization: Psychiatric/Mental Health, Child & Adolescent
  • Entity Type: Individual
  • Address: 614 COOPER HILL RD
    WYNANTSKILL, NY
    ZIP 12198
  • Phone: (518) 283-6500

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NPI Details

Gary Edward Shields is a psychiatric/mental health and child and adolescent registered nurse in Wynantskill, NY. Gary Edward Shields NPI is 1497228894. 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:

614 COOPER HILL RD
WYNANTSKILL, NY
ZIP 12198-906
Phone: (518) 283-6500
Fax: (518) 283-0524

The enumeration date for this NPI number is 1/8/2019 and was last updated on 1/8/2019.

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
1163WP0807XRegistered NursePsychiatric/Mental Health, Child & Adolescent499610NEW YORKYes

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: 11/21/2025

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