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

Active since October 26, 2017
441 PENBROOKE DR STE 1, PENFIELD, NY 14526(585) 454-9904(585) 286-4487 Get Directions Write a Review

NPPES record last updated: October 26, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adena Shoshan Psyd Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Adena Shoshan Psyd PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Adena Shoshan, PSYD
Clinical Psychologist
NPI 1407103252
160 ALLENS CREEK RD
Rochester, NY 14618
(585) 454-9904
✔ PECOS✔ Accepts Medicare5.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 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.

Where is Adena Shoshan Psyd PC located?

Adena Shoshan Psyd PC is located at 441 Penbrooke Dr Ste 1, Penfield, NY 14526. The listed phone number is (585) 454-9904.

What is Adena Shoshan Psyd PC's specialty?

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

Is Adena Shoshan Psyd PC enrolled in Medicare?

Yes. Adena Shoshan Psyd PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Adena Shoshan Psyd PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Adena Shoshan Psyd PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Adena Shoshan Psyd PC was last updated on October 26, 2017. 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.