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

Mary Shaw, RN

Individual provider Child & Adolescent Psychiatric/Mental Health Registered Nurse · NPI 1770120651

Mary Shaw, RN is a Child & Adolescent Psychiatric/Mental Health Registered Nurse in Syracuse, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

620 Madison St
Syracuse, NY 13210-2319
Phone: (315) 426-3600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatric/Mental Health Registered Nurse (primary) Taxonomy 163WP0807X · Licence 675891 (NY)

Record details

NPI number1770120651
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedDecember 10, 2019
Last updated in NPPESJune 13, 2025
Certification dateJune 13, 2025
Mailing address620 Madison St, Syracuse, NY 13210-2319

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