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MR. RANDY SHINE
NPI 1417126624
Case Manager/Care Coordinator in Buffalo, NY

Active since February 22, 2008
430 NIAGARA STREET, BLENDED CASE MANAGEMENT, BUFFALO, NY 14201(716) 856-2587(716) 856-2608 Get Directions Write a Review

NPPES record last updated: February 22, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Randy Shine NPPES

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

MR. RANDY SHINE (NPI 1417126624) is an individual case manager/care coordinator provider in Buffalo, New York and active in the NPI registry since February 2008.

NPPES Registry Identity

NPI1417126624
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameMR. RANDY SHINE
Location Address430 NIAGARA STREET, BLENDED CASE MANAGEMENTBuffalo, NY 14201
Mailing Address254 Franklin Street, Lake Shore Behavioral HealthBuffalo, NY 14202 · (716) 842-0440 · Fax (716) 842-4069
Phone(716) 856-2587
Fax(716) 856-2608
Sole ProprietorYes
Enumeration DateFebruary 22, 2008
✔ NPI 1417126624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
430 NIAGARA STREET, Buffalo, NY 14201
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Other Providers at the Same Location NPPES 16

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

MRS. KATHLEEN MARY MINYARD RN
Registered Nurse
430 NIAGARA STREET, ACT PROGRAM
BUFFALO, NY 14201
Erie County (716) 856-2587
LAKE SHORE BEHAVIORAL HEALTH
Private Vehicle
430 NIAGARA STREET, TRANSPORTATION
BUFFALO, NY 14201
Erie County (716) 856-2587
MS. TAMMY GARRETSON RN
Registered Nurse
430 NIAGARA STREET, NIAGARA SKILL CENTER
BUFFALO, NY 14201
Erie County (716) 856-9835
CHILD AND ADOLESCENT TREATMENT SERVICES INC
Counselor (Mental Health)
430 NIAGARA STREET
BUFFALO, NY 14201
Erie County (716) 853-1335
MRS. IRENE B ZANET LMHC
Counselor (Mental Health)
430 NIAGARA STREET
BUFFALO, NY 14201
Erie County (716) 853-1335
TAUNYA CLARKE LMSW
Social Worker
430 NIAGARA STREET
BUFFALO, NY 14201
Erie County (716) 856-2587
MR. AARON ERIC ZAKRZEWSKI MT-BC
Music Therapist
430 NIAGARA STREET
BUFFALO, NY 14201
Erie County (716) 856-2587
MS. AMALIA CAIOLA-FERREIRA LMSW
Social Worker
430 NIAGARA STREET, NIAGARA SKILL CENTER
BUFFALO, NY 14201
Erie County (716) 856-9835

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 Randy Shine's NPI number?

The NPI number for Randy Shine is 1417126624. It was assigned to this individual provider in the NPPES registry on February 22, 2008.

Where is Randy Shine located?

Randy Shine practices at 430 Niagara Street Blended Case Management, Buffalo, NY 14201. The listed phone number is (716) 856-2587.

What is Randy Shine's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Randy Shine was last updated on February 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.