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

Justin William Shaw, NP-P, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1932611357

Justin William Shaw, NP-P, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner in Long Island City, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

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Practice location Address checks out

3425 Vernon Blvd
Long Island City, NY 11106-5121
Phone: (917) 575-5662
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 403664 (NY)
Addiction (Substance Use Disorder) Registered Nurse Taxonomy 163WA0400X · Licence 711620 (NY)

Record details

NPI number1932611357
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-P , PMHNP-BC
Sole proprietorNo
NPI enumeratedOctober 25, 2017
Last updated in NPPESDecember 28, 2021
Certification dateDecember 28, 2021

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