SHINE MEDICAL PROVIDERS PC
NPI 1538894050
Psychiatry & Neurology - Psychiatry in Philadelphia, PA

Q: What is Shine Medical Providers PC's NPI number?

The NPI number for Shine Medical Providers PC is 1538894050. It was assigned to this organization in the NPPES registry on July 19, 2022.

Q: What is Shine Medical Providers PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since July 19, 2022

709 N 2ND ST STE 400, PHILADELPHIA, PA 19123(888) 380-2028 Get Directions Write a Review

NPPES record last updated: October 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 4, 2024, Jan 18, 2023, Sep 16, 2022 and 1 more (4 updates tracked since 2022).

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About Shine Medical Providers Pc NPPES

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

SHINE MEDICAL PROVIDERS PC (NPI 1538894050) is a healthcare organization registered as a psychiatry in Philadelphia, Pennsylvania and active in the NPI registry since July 2022. The organization lists Clare Frances Boals Frye, Svp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1538894050

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameSHINE MEDICAL PROVIDERS PC

Location Address709 N 2ND ST STE 400Philadelphia, PA 19123-3108

Mailing AddressPo Box 360721Pittsburgh, PA 15251-6721

Phone(888) 380-2028

Organization SubpartNo

Authorized OfficialClare Frances Boals FryeSvp Of Operations · (616) 648-1196

Enumeration DateJuly 19, 2022

Last NPPES UpdateOctober 4, 20244 updates tracked since enumeration

NPPES CertifiedOctober 4, 2024

✔ NPI 1538894050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

709 N 2ND ST STE 400, Philadelphia, PA 19123

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES 9

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

CHELSEA REITZ

Counselor (Professional)