Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shine Medical Providers PC

Organization Psychiatry Physician · NPI 1538894050

Shine Medical Providers PC is a Psychiatry Physician in Philadelphia, Pennsylvania. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

709 N 2nd St Ste 400
Philadelphia, PA 19123-3108
Phone: (888) 380-2028
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1538894050
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Clare Frye — Svp Of Operations · (616) 648-1196
NPI enumeratedJuly 19, 2022
Last updated in NPPESOctober 4, 2024
Certification dateOctober 4, 2024
Mailing addressPo Box 360721, Pittsburgh, PA 15251-6721

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