MRS. JILLIEN AMENSIE SHAW NPI 1912605635

NPI Information

NPI: 1912605635
Provider Name: MRS. JILLIEN AMENSIE SHAW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
92 YONKERS AVE
TUCKAHOE, NY
ZIP 10707
Phone: (914) 337-6033
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MRS. Jillien Amensie Shaw is a mental health counselor in Tuckahoe, NY. MRS. Jillien Amensie Shaw NPI is 1912605635. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

92 YONKERS AVE
TUCKAHOE, NY
ZIP 10707-911
Phone: (914) 337-6033
Fax: (914) 337-7218

The enumeration date for this NPI number is 2/21/2023 and was last updated on 2/21/2023.

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	101YM0800X	Counselor	Mental Health	P119122	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	153143259	OTHER	NEW YORK	DRIVERS LICENSE

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: 5/5/2024

NPI Synchronization or Removal

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