Shirley Disu, PSYD, NC-PSYA
NPI 1407253537ActiveIndividual· Psychologist· Bronx, NY
Psychologist (PSYD, NC-PSYA) in Bronx, New York, licensed in NY, with an NPI issued in December 2014. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1407253537 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD, NC-PSYA |
| Sole proprietor | No |
| NPI issued | Dec 4, 2014 |
| Last updated in NPPES | Apr 17, 2025 |
| Certified by provider | Apr 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 024355-01 | NY |
| Psychoanalyst | 102L00000X | 000927 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (NY) |
|---|
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