YONG SHIK SHIN (NPI# 1881623338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881623338 |
| Entity Type | Individual |
| Full Name | YONG SHIK SHIN |
| Other Name | MRS. YONG SHIK KIM |
| Credential | MD |
| Practice Address |
1630 E High St Bldg 4 Pottstown PA 19464 |
| Mailing Address |
600 Creekside Dr Ste 609 Sanatoga PA 19464 |
| Practice Telephone | 6103271631 |
| Practice Fax Number | 6103271199 |
| Mailing Telephone | 6103271631 |
| Mailing Fax Number | 6103271199 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2018-06-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD034368L | PA | Allopathic & Osteopathic Physicians |
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
MD034368L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0545215 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366985129 | Yong Shin | Nurse Practitioner | 1858 W Ash Ave, Fullerton, CA 92833-3246 | 2016-11-28 |
| 1326439274 | Yong Shin | Chiropractor | 821 Canongate Dr, Flower Mound, TX 75022-8012 | 2015-02-13 |
| 1942442561 | Yong Sang Shin | Acupuncturist | 11642 Cedarvale St, Norwalk, CA 90650-7011 | 2009-03-27 |
| 1851364988 | Yong Ki Shin | Internal Medicine | 112 E Broadway Ave, Montesano, WA 98563-3704 | 2006-02-09 |
| 1760987705 | Yong Il Shin | Student in an Organized Health Care Education/Training Program | 24 Hospital Ave, Danbury, CT 06810-6099 | 2018-03-29 |
| 1912008632 | Yong H. Shin | Pediatrics | 50 Park Ave, Paterson, NJ 07501-2207 | 2006-09-26 |
| 1003925017 | Yong T Shin | Surgery | 170 W 12th St, Cardio/surgery, New York, NY 10011-8202 | 2006-08-30 |
| Street Address |
1630 E HIGH ST BLDG 4 |
| City | POTTSTOWN |
| State | PA |
| Zip Code | 19464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584750 | James William King | Marriage & Family Therapist | 1630 E High St Bldg 4, Pottstown, PA 19464-3244 | 2020-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770051971 | Jennifer Vernon | Counselor | 111 Robinson Street, Pottstown, PA 19464 | 2018-11-06 |
| 1609356732 | Wisna Serenity Homes Corp | Home Health | 444 North Mount Vernon Ave, Pottstown, PA 19464 | 2018-08-17 |
| 1164919007 | Katie A Lewis | Counselor | Creative Health Services Inc., 11 Robinson Street, Pottstown, PA 19464 | 2018-04-17 |
| 1326564998 | Dana Marie Skilton | Counselor | 11 Robinson Ave, Pottstown, PA 19464 | 2017-08-16 |
| 1629425954 | Edith Mary French | Registered Nurse | 1630 East High Street, Bldg #4, Pottstown, PA 19464 | 2016-05-17 |
| 1215314547 | Amy Lynne Campos | Counselor | 1200 E. High St. Suite 202, Pottstown, PA 19464 | 2015-05-06 |
| 1417346560 | Erica L Avello | Psychologist | 404 E High Street, Pottstown, PA 19464 | 2015-01-13 |
| 1336559145 | Beth Sue Desch | Dental Hygienist | 11 Robinson St. Suite 100, Pottstown, PA 19464 | 2014-05-01 |
| 1043638414 | Claudia Baumert | Dietitian, Registered | 555 E High Sreet, Pottstown, PA 19464 | 2014-04-02 |
| 1770922692 | Marie Elizabeth Bisconti | Optometrist | 264 Upland Square Dr, Pottstown, PA 19464 | 2013-06-25 |
| Find all providers in zip 19464 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124253067 | Bijan Etemad | Psychiatry & Neurology | 15 Wistar Rd, Villanova, PA 19085-1512 | 2009-05-21 |
| 1912106667 | Henry Litvin | Psychiatry & Neurology | 134 Cardinal Rd, Jenkintown, PA 19046-3907 | 2007-07-13 |
| 1922188879 | Rona Pasternak | Psychiatry & Neurology | 714 N Ithan Ave, Bryn Mawr, PA 19010-1730 | 2006-10-16 |
| 1083724884 | Levy Psychiatric Associates LLC | Psychiatry & Neurology | 8001 Roosevelt Blvd Suite 100, Philadelphia, PA 19152 | 2006-08-30 |
| 1700895240 | Delaware Valley Behavioral Health, P.C. | Psychiatry & Neurology | 1305 Medford Rd, Wynnewood, PA 19096-2418 | 2006-08-05 |
| 1730196379 | Robert M Rapkin | Psychiatry & Neurology | 1800 Three Mile Run Rd, Perkasie, PA 18944-2027 | 2006-08-02 |
| 1629044292 | Nicholas Tsopelas | Psychiatry & Neurology | 3535 Market Street, 3rd Floor, Philadelphia, PA 19104-2593 | 2006-02-24 |
| 1235119496 | Shivam Hingorani | Psychiatry & Neurology | 2001 Hamilton St, 1528, Philadelphia, PA 19130-4201 | 2006-01-21 |
| 1740278258 | Raul Rodriguez-feo | Psychiatry & Neurology | 132 Walnut St, Johnstown, PA 15901-1621 | 2005-10-10 |
| 1780683417 | David Liskov | Psychiatry & Neurology | 562 Wyoming Ave, Kingston, PA 18704-3721 | 2005-07-15 |
| Find all providers with the same taxonomy | ||||
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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.