DR. SHIRLEY DISU PSYD, NC-PSYA
NPI 1407253537
Psychologist in Bronx, NY

Active since December 04, 2014PECOS Enrolled
234 E 149TH ST, BRONX, NY 10451(718) 579-5619 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 16, 2021, Oct 25, 2018 (2 updates tracked since 2018).

About Dr. Shirley Disu Psyd, Nc-psya NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHIRLEY DISU PSYD, NC-PSYA (NPI 1407253537) is an individual psychologist in Bronx, New York, licensed in New York (024355-01) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Staten Island.

NPPES Registry Identity

NPI1407253537
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. SHIRLEY DISUCredential: PSYD, NC-PSYA
Location Address234 E 149TH STBronx, NY 10451-5504
Mailing AddressPo Box 140580Staten Island, NY 10314-0580 · (718) 954-5260
Sole ProprietorNo
Enumeration DateDecember 4, 2014
Last NPPES UpdateApril 17, 20252 updates tracked since enumeration
NPPES CertifiedApril 17, 2025
✔ NPI 1407253537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in NY · 024355-01
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedPsychoanalystTaxonomy 102L00000X · License 000927 (NY)
234 E 149TH ST, Bronx, NY 10451

Secondary Practice Location 1

Location 1PO Box 140580Staten Island, NY 10314-0580 · Phone (718) 954-5260

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shirley Disu Psyd, Nc-psya is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Shirley Disu reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
545 E 142ND ST
Bronx, NY 10454
  • Reassigned Medicare billing, New York enrollment
  • 1,615 clinicians in this Medicare group
Dietitian, Registered
506 LENOX AVE
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 2,094 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
234 E 149TH ST
BRONX, NY 10451
Dermatology
234 E 149TH ST
BRONX, NY 10451
Emergency Medicine
234 E 149TH ST
BRONX, NY 10451
Student in an Organized Health Care Education/Training Program
234 E 149TH ST
BRONX, NY 10451
Social Worker (Clinical)
234 E 149TH ST
BRONX, NY 10451
Emergency Medicine
234 E 149TH ST
BRONX, NY 10451
Physician Assistant
234 E 149TH ST
BRONX, NY 10451
Student in an Organized Health Care Education/Training Program
234 E 149TH ST
BRONX, NY 10451

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shirley Disu's NPI number?

The NPI number for Shirley Disu is 1407253537. It was assigned to this individual provider in the NPPES registry on December 4, 2014.

Where is Shirley Disu located?

Shirley Disu practices at 234 E 149th St, Bronx, NY 10451. The listed phone number is (718) 579-5619.

What is Shirley Disu's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Shirley Disu enrolled in Medicare?

Yes. Shirley Disu is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shirley Disu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shirley Disu reassigns Medicare benefits to 2 organizations: New York City Health And Hospitals Corporation (Bronx, NY) and Physician Affiliate Group Of New York PC (New York, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shirley Disu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shirley Disu was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.