Shine Medical Providers PC
NPI 1538894050 · Psychiatry Physician · Philadelphia, PA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shine Medical Providers PC is a Psychiatry Physician organization in Philadelphia, PA (NPI 1538894050).
Provider details
- NPI number
- 1538894050
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Clare Frye, Svp of Operations(616) 648-1196
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-07-19
- Last updated
- 2024-10-04
- Certified
- 2024-10-04
Frequently asked questions
- What is Shine Medical Providers PC's NPI number?
- Shine Medical Providers PC's National Provider Identifier (NPI) is 1538894050, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shine Medical Providers PC?
- Shine Medical Providers PC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Shine Medical Providers PC located?
- Shine Medical Providers PC's practice location on file with NPPES is 709 N 2nd St Ste 400, Philadelphia, PA 19123-3108.
- What is Shine Medical Providers PC's phone number?
- The practice phone number listed in the NPPES registry for Shine Medical Providers PC is (888) 380-2028.
- Does Shine Medical Providers PC accept Medicare?
- Shine Medical Providers PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Shine Medical Providers PC?
- The authorized official listed on Shine Medical Providers PC's NPPES record is Clare Frye, Svp of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shine Medical Providers PC's NPI active?
- Yes — Shine Medical Providers PC's NPI (1538894050) is active in the NPPES registry as of the last update on 2024-10-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.