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

Dr. Shibani Ray Mazumder, PHD, SCD

Individual provider Health Psychologist · NPI 1134312572

Dr. Shibani Ray Mazumder, PHD, SCD is a Clinical Psychologist in New York, New York. Qualified in 2013, 13 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
13
Licensed in
NY
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

250 E 30th St Apt 9A
New York, NY 10016-8298
Phone: (631) 786-9312
Fax: (212) 263-8995
Show map & directions

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

Specialties & licences

Health Psychologist (primary) Taxonomy 103TH0004X · Licence 020691 (NY)

Record details

NPI number1134312572
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD , SCD
Sole proprietorYes
NPI enumeratedAugust 20, 2007
Last updated in NPPESSeptember 8, 2020
Certification dateAugust 25, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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