DR. SHAHAB MOTAMEDINIA PH.D.
NPI 1578017992
Psychologist in New York, NY

Active since August 15, 2016PECOS Enrolled
170 W 73RD ST, LOBBY SUITE, NEW YORK, NY 10023(646) 783-0880 Get Directions Write a Review

NPPES record last updated: November 17, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 17, 2016, Aug 15, 2016 (2 updates tracked since 2016).

About Dr. Shahab Motamedinia Ph.d. NPPES

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

DR. SHAHAB MOTAMEDINIA PH.D. (NPI 1578017992) is an individual psychologist in New York, New York, licensed in New York (021755) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578017992
Entity TypeIndividualMale
Primary Taxonomy103T00000X
Provider Legal NameDR. SHAHAB MOTAMEDINIACredential: PH.D.
Location Address170 W 73RD ST, LOBBY SUITENew York, NY 10023-3006
Mailing Address68 Yonkers AveTuckahoe, NY 10707-3910
Sole ProprietorYes
Enumeration DateAugust 15, 2016
Last NPPES UpdateNovember 17, 20162 updates tracked since enumeration
✔ NPI 1578017992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in NY · 021755
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.
170 W 73RD ST, New York, NY 10023

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shahab Motamedinia Ph.d. 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 Reassignment

Medicare enrollment records show Shahab Motamedinia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
2633 BROADWAY
New York, NY 10025
  • Reassigned Medicare billing, New York enrollment
  • 5,251 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 4

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

Psychologist (Clinical)
170 W 73RD ST, LOBBY SUITE
NEW YORK, NY 10023
Psychologist (Clinical)
170 W 73RD ST, LOBBY SUITE
NEW YORK, NY 10023
Psychologist (Clinical)
170 W 73RD ST, LOBBY LEVEL
NEW YORK, NY 10023
Psychologist (Clinical)
170 W 73RD ST, LOBBY SUITE
NEW YORK, NY 10023

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 Shahab Motamedinia's NPI number?

The NPI number for Shahab Motamedinia is 1578017992. It was assigned to this individual provider in the NPPES registry on August 15, 2016.

Where is Shahab Motamedinia located?

Shahab Motamedinia practices at 170 W 73rd St Lobby Suite, New York, NY 10023. The listed phone number is (646) 783-0880.

What is Shahab Motamedinia's specialty?

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

Is Shahab Motamedinia enrolled in Medicare?

Yes. Shahab Motamedinia is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shahab Motamedinia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shahab Motamedinia reassigns Medicare benefits to Montefiore Medical Center (New York, NY). The 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 Shahab Motamedinia'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 Shahab Motamedinia was last updated on November 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.