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General NPI Number Information
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NPI Number | 1356911010
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Entity Type | Organization
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Legal Business Name | ERIN MCCARTHY SHAW, NURSE PRACTITIONER IN PSYCHIATRY, PLLC
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Dates
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Enumeration Date | 06/25/2021
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 205 MAIN ST STE 1
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City | WESTPORT
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State | CT
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Zip | 06880-3206
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Country | US
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Telephone | 203-349-9605
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Fax | 203-533-0766
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Provider Business Mailing Address
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Address Line | 15 TRIEBLE AVE STE 5 PMB 420
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City | BALLSTON SPA
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State | NY
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Zip | 12020-6027
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTITIONER
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Name | ERIN MCCARTHY SHAW
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Credential | MSN, PMHNP-C, APRN
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Telephone | 203-349-9605
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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