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RAHMAN RAHIM SHABAZZ CT
NPI 1568951820
Counselor - Mental Health in Penfield, NY

Active since May 02, 2018
2060 FAIRPORT NINE MILE POINT RD STE 400, PENFIELD, NY 14526(585) 388-6000(585) 388-6004 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 22, 2026, Sep 16, 2024, May 2, 2018 (3 updates tracked since 2018).

About Rahman Rahim Shabazz Ct NPPES

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

RAHMAN RAHIM SHABAZZ CT (NPI 1568951820) is an individual mental health provider in Penfield, New York, licensed in New York (P139753) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1568951820
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameRAHMAN RAHIM SHABAZZCredential: CT
Location Address2060 FAIRPORT NINE MILE POINT RD STE 400Penfield, NY 14526-1749
Mailing Address2060 Fairport Nine Mile Point Rd Ste 400Penfield, NY 14526-1749 · (585) 388-6000 · Fax (585) 388-6004
Phone(585) 388-6000
Fax(585) 388-6004
Sole ProprietorYes
Enumeration DateMay 2, 2018
Last NPPES UpdateJanuary 22, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2026
✔ NPI 1568951820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · P139753
2060 FAIRPORT NINE MILE POINT RD STE 400, Penfield, NY 14526
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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

Other Providers at the Same Location NPPES 3

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

ALEXIS COMBS PSYD
Psychologist
2060 FAIRPORT NINE MILE POINT RD STE 400
PENFIELD, NY 14526
Monroe County (585) 388-6000
TAJMA SARIC PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2060 FAIRPORT NINE MILE POINT RD STE 400
PENFIELD, NY 14526
Monroe County (585) 388-6000
JENNIFER SUE GAYLE
Nurse Practitioner
2060 FAIRPORT NINE MILE POINT RD STE 400
PENFIELD, NY 14526
Monroe County (585) 388-6000

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 Rahman Shabazz's NPI number?

The NPI number for Rahman Shabazz is 1568951820. It was assigned to this individual provider in the NPPES registry on May 2, 2018.

Where is Rahman Shabazz located?

Rahman Shabazz practices at 2060 Fairport Nine Mile Point Rd Ste 400, Penfield, NY 14526. The listed phone number is (585) 388-6000.

What is Rahman Shabazz's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Rahman Shabazz was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.