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

Jae Hun Shin

Individual provider Counseling Psychologist · NPI 1053008102

Jae Hun Shin is a Clinical Psychologist in Brooklyn, New York. Graduated from Fordham University School of Medicine in 2024, 2 years ago. Practices as a sole proprietor.

Years since qualifying
2
Trained at
Fordham University School of Medicine
In the registry since
2023

Practice location Address checks out

4802 10th Ave
Brooklyn, NY 11219-2916
Phone: (718) 283-6000
Show map & directions

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

Specialties & licences

Counseling Psychologist (primary) Taxonomy 103TC1900X

Record details

NPI number1053008102
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 19, 2023
Last updated in NPPESApril 19, 2023
Certification dateApril 19, 2023

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolFORDHAM UNIVERSITY SCHOOL OF MEDICINE
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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