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

Shantal Bishop

Individual provider Mental Health Counselor · NPI 1730002643

Shantal Bishop is a Mental Health Counselor in Roosevelt, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2026

Practice location Address checks out

80 Whitehouse Ave
Roosevelt, NY 11575-1324
Phone: (516) 309-1675
Fax: (516) 223-3840
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence P144802 (NY)

Record details

NPI number1730002643
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 30, 2026
Last updated in NPPESJuly 30, 2026
Certification dateJuly 30, 2026
Mailing address1019 Van Siclen Ave Apt 4f, Brooklyn, NY 11207-9034

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