DR. JESSICA SHIMBERG


Address: 80 5th Ave, Suite 1405, New York, NY 10011-8002
Phone: 3476204137

DR. JESSICA SHIMBERG (NPI# 1801146907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801146907
Entity Type Individual
Full Name DR. JESSICA SHIMBERG
Credential PH.D.
Practice Address 80 5th Ave
Suite 1405
New York
NY 10011-8002
Practice Telephone 3476204137
Mailing Telephone 3476204137
Enumeration Date 2012-09-16
Last Update Date 2016-08-01
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
019696 NY Behavioral Health & Social Service Providers

Office Location

Street Address 80 5TH AVE
SUITE 1405
City NEW YORK
State NY
Zip Code 10011-8002

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1770949059 Marie Helene Charlap Counselor 80 5th Ave, Suite 1001, New York, NY 10011-8002 2016-01-03
1609246594 Christine Morrison Counselor 80 5th Ave, Suite 903a, New York, NY 10011-8002 2015-10-05
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10011

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Dataset Information

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.

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