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Fannie Shin

Behavior Analyst β€’ Latham, NY

Active NPI 1477023091 Individual Practitioner Female Practitioner
Practice location in NPPES

7 Century Hill Dr
Latham, NY 121102113

Call 5186411119 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

7 Century Hill Dr

Latham, NY 121102113

Telephone 5186411119
Organization at the Same NPPES Address or Phone
Same Day Surgery Of Latham Inc Facility NPI 1235193988

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Latham and New York

11 active clinicians are listed under Behavior Analyst with a practice address in Latham, NY (5,206 in New York).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Latham

0% of these 11 clinicians have the CMS telehealth indicator.

0% of these 11 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-11-29
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES NY 002452

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
07638604 (NY)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location November 29, 2023

Registered at 7 CENTURY HILL DR, LATHAM, NY 121102113 (Tel: 5186411119)

πŸ“
Updated Business Mailing Address November 29, 2023

Registered at 7 CENTURY HILL DR, LATHAM, NY 121102113 (Tel: 5186411119)

πŸ‘€
Provider Name / Credentials Updated November 29, 2023

Recorded as FANNIE SHIN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 29, 2023

Behavior Analyst (license number reported to NPPES: NY 002452)

βœ…
NPI Profile Active November 26, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 26, 2018

Registered at 33 TURNPIKE RD, SOUTHBOROUGH, MA 017722108 (Tel: 5084811015)

πŸ“
Business Mailing Address (Initial Record) November 26, 2018

Registered at 33 TURNPIKE RD, SOUTHBOROUGH, MA 017722108 (Tel: 5084811015)

πŸ‘€
Provider Name / Credentials (Initial Record) November 26, 2018

Recorded as FANNIE CHEN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 26, 2018

Developmental Therapist

🟒
Initial NPI Registration & Enumeration November 26, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1477023091
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 26, 2018
Last Update: November 29, 2023
Sole Proprietor: Yes

Mailing Address

7 Century Hill Dr

Latham, NY 121102113

Phone: 5186411119

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.