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

Dr. Shahal Rozenblatt, PHD

Individual provider Clinical Neuropsychologist · NPI 1205837366

Dr. Shahal Rozenblatt, PHD is a Clinical Psychologist in Smithtown, New York. Qualified in 2003, 23 years ago. Practices as a sole proprietor, works from 3 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
23
Licensed in
NY
In the registry since
2005
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

50 Karl Ave Ste 104
Smithtown, NY 11787-2744
Phone: (631) 378-0741
Fax: (631) 449-7970
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 14 Greenway Ter, Forest Hills, NY 11375-5254 — (718) 261-3508
  • 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 — (631) 474-6000

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 016095 (NY)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence 016095 (NY)

Record details

NPI number1205837366
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedAugust 10, 2005
Last updated in NPPESJuly 21, 2022
Mailing address50 Karl Ave Ste 104, Smithtown, NY 11787-2744

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Smithtown