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SHIDEH LENNON PH.D
NPI 1609801265
Psychologist - Clinical in Lynbrook, NY

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
303 MERRICK RD, SUITE 204, LYNBROOK, NY 11563(800) 725-6280(800) 725-6380 Get Directions Write a Review

NPPES record last updated: March 29, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shideh Lennon Ph.d NPPES

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

SHIDEH LENNON PH.D (NPI 1609801265) is an individual clinical provider in Lynbrook, New York, licensed in New York (013428-1) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1609801265
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameSHIDEH LENNONCredential: PH.D
Location Address303 MERRICK RD, SUITE 204Lynbrook, NY 11563-2501
Mailing Address303 Merrick Rd, Suite 204Lynbrook, NY 11563-2501 · (800) 725-6280 · Fax (800) 725-6380
Phone(800) 725-6280
Fax(800) 725-6380
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJuly 12, 2006
Last NPPES UpdateMarch 29, 2011
✔ NPI 1609801265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in NY · 013428-1
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
303 MERRICK RD, Lynbrook, NY 11563
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Other Identifiers 1

Medicaid02153859NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shideh Lennon Ph.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264492974
PECOS Enrollment IDI20041018000352
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11563 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ASO INTEGRATED HEALTH SERVICES, INC.
Durable Medical Equipment & Medical Supplies
303 MERRICK RD, SUITE300
LYNBROOK, NY 11563
Nassau County (516) 596-4357
MR. ROBERT PASKOFF M.A.,P.T.,P.C.S.
Physical Therapist (Pediatrics)
303 MERRICK RD, SUITE 404
LYNBROOK, NY 11563
Nassau County (516) 255-5511
JAIMIE OLIVER LMHC
Counselor (Mental Health)
303 MERRICK RD, SUITE 302
LYNBROOK, NY 11563
Nassau County (516) 554-3592
COMPREHENSIVE PSYCHOLOGICAL SERVICES OF LONG ISLAND, P.C.
Psychologist (Clinical)
303 MERRICK RD, SUITE 302
LYNBROOK, NY 11563
Nassau County (516) 382-4567
ROMAN BRUSHTEIN MD
Internal Medicine
303 MERRICK RD, SUITE 511
LYNBROOK, NY 11563
Nassau County (516) 596-3611
CHRYSOULA KASAPIS PH.D
Psychologist (Clinical)
303 MERRICK RD, SUITE 204
LYNBROOK, NY 11563
Nassau County (800) 725-6280
LIFESPAN NEUROLOGICAL PHYSICAL THERAPY, LLP
Home Health
303 MERRICK RD, SUITE 404
LYNBROOK, NY 11563
Nassau County (516) 255-5511
ROMAN BRUSHTEIN MEDICAL PLLC
Internal Medicine
303 MERRICK RD, SUITE 511
LYNBROOK, NY 11563
Nassau County (516) 596-3611

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 Shideh Lennon's NPI number?

The NPI number for Shideh Lennon is 1609801265. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Shideh Lennon located?

Shideh Lennon practices at 303 Merrick Rd Suite 204, Lynbrook, NY 11563. The listed phone number is (800) 725-6280.

What is Shideh Lennon's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Shideh Lennon enrolled in Medicare?

Yes. Shideh Lennon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shideh Lennon was last updated on March 29, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.