ADENA SHOSHAN PSYD PC - NPI 1821500174 - Psychologist in Penfield, NY

Q: What is Adena Shoshan Psyd PC's NPI number?

The NPI number for Adena Shoshan Psyd PC is 1821500174. It was assigned to this organization in the NPPES registry on October 26, 2017.

Q: What is Adena Shoshan Psyd PC's specialty?

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

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About Adena Shoshan Psyd Pc NPPES

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

ADENA SHOSHAN PSYD PC (NPI 1821500174) is a healthcare organization registered as a clinical in Penfield, New York and active in the NPI registry since October 2017. The organization lists Adena Shoshan, President/owner, as its authorized official.

NPPES Registry Identity

NPI1821500174

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameADENA SHOSHAN PSYD PC

Location Address441 PENBROOKE DR STE 1Penfield, NY 14526-2046

Mailing Address441 Penbrooke Dr Ste 1Penfield, NY 14526-2046 · (585) 454-9904 · Fax (585) 286-4487

Phone(585) 454-9904

Fax(585) 286-4487

Organization SubpartNo

Authorized OfficialAdena ShoshanPresident/owner · (585) 454-9904

Enumeration DateOctober 26, 2017

✔ NPI 1821500174 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 · 019295

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.

441 PENBROOKE DR STE 1, 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 5

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

MARCELLA ANN COLILLI LMSW

Social Worker