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

Mr. Paul Baxter Shorter Sr., CRPA

Individual provider Peer Specialist · NPI 1366232415

Mr. Paul Baxter Shorter Sr., CRPA is a Peer Specialist in Menands, New York. Licensed in New York. Registered with an NPI since 2025.

Licensed in
NY
In the registry since
2025

Practice location Address checks out

444 Broadway
Menands, NY 12204-2887
Phone: (518) 205-3111
Fax: (518) 205-3111
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 7580 (NY)

Record details

NPI number1366232415
Entity typeIndividual (Type 1)
GenderMale
Credentials CRPA
Sole proprietorNo
NPI enumeratedMay 12, 2025
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025