DR. ELLYN SUE SHANDER (NPI# 1134278500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134278500 |
| Entity Type | Individual |
| Full Name | DR. ELLYN SUE SHANDER |
| Credential | MD |
| Practice Address |
1933 Long Ridge Rd Stamford CT 06903-3201 |
| Practice Telephone | 2035959205 |
| Practice Fax Number | 2033298011 |
| Mailing Telephone | 2035959205 |
| Mailing Fax Number | 2033298011 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
024821 | CT | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | MEDICAL LICENSE | 024821 | 01 |
| Street Address |
1933 LONG RIDGE RD |
| City | STAMFORD |
| State | CT |
| Zip Code | 06903-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255851481 | Stella Medical Care LLC | Skilled Nursing Facility | Villa At Stamford 88 Rock Rimmon Rd, Stamford, CT 06903 | 2017-06-20 |
| 1447529284 | Emilio Delia | Pharmacist | 29 Fairway Drive, Stamford, CT 06903 | 2011-12-23 |
| 1174696017 | City of Stamford | Skilled Nursing Facility | 88 Rock Rimmon Road, Stamford, CT 06903 | 2006-11-16 |
| 1477622579 | Stanley Rosner & Blanche A. Rosner LLC | Social Worker | 415 Saw Mill Rd, Stamford, CT 06903 | 2006-11-06 |
| 1841759107 | Debra Fink Tomsky | Speech-Language Pathologist | 2 S Lake Dr, Stamford, CT 06903-1005 | 2019-03-17 |
| 1720357528 | Herbert Steven Cohen | Psychologist | 106 Gun Club Rd, Stamford, CT 06903-1024 | 2011-12-22 |
| 1164594065 | Family Life Psychological Services PC | Psychologist | 106 Gun Club Road, Stamford, CT 06903-1024 | 2006-11-15 |
| 1316265143 | Renew Counseling Associates | Community/Behavioral Health | 455 Old Long Ridge Rd, Stamford, CT 06903-1112 | 2010-05-04 |
| 1578831525 | Alan Jule Ranhosky | General Practice | 2874 Long Ridge Rd, Stamford, CT 06903-1119 | 2011-12-06 |
| 1538772215 | Amanda Masterson | Physical Therapist | 39 Happy Hill Rd, Stamford, CT 06903-1203 | 2020-08-24 |
| Find all providers in zip 06903 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063721884 | Kenneth R. Berv Md PC | Psychiatry & Neurology | 1006 Westover Rd, Stamford, CT 06902-1040 | 2010-09-28 |
| 1528260197 | Rafique Tai | Psychiatry & Neurology | 157 Grove St, Stamford, CT 06901-1818 | 2007-06-04 |
| 1205980703 | Simon J. Epstein | Psychiatry & Neurology | 91 Strawberry Hill Ave Apt 140, Stamford, CT 06902-2745 | 2007-01-22 |
| 1013067388 | Steven Alexander Weisblatt | Psychiatry & Neurology | 26 Kerr Rd, Stamford, CT 06905-2130 | 2007-01-11 |
| 1255499513 | Jeffrey Michael Koffler | Psychiatry & Neurology | 39 Glenbrook Rd, 1g, Stamford, CT 06902-2968 | 2006-12-05 |
| 1073684221 | Irwin Potkewitz | Psychiatry & Neurology | 923 Sunset Rd, Stamford, CT 06903-2400 | 2006-11-10 |
| 1558442913 | Florence Angela Knox | Psychiatry & Neurology | 780 Summer St., Southwest Ct Mental Health System-f.s. Dubois Center, Stamford, CT 06901 | 2006-10-18 |
| 1205920667 | Lee Combrinck-graham | Psychiatry & Neurology | 1515 Summer Street Unit 605, Stamford, CT 06905 | 2006-10-02 |
| 1164467866 | Elisa M Rambo | Psychiatry & Neurology | 680 E Main St # 599, Stamford, CT 06901-2113 | 2006-06-17 |
| 1740229335 | Mohammed Rafiq Khan | Psychiatry & Neurology | 90 Woodridge Dr South, Stamford, CT 06902 | 2006-06-06 |
| Find all providers in STAMFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.