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Active NPI 1083178214 Individual Practitioner Male Practitioner

Robert Shields , CRPA-P

Peer Specialist • Waterloo, NY

Professional Overview & Biography Verified Profile Summary

Robert Shields, CRPA-P is a registered healthcare professional specializing in Peer Specialist in Waterloo, NY. Practice services are available at 31 THURBER DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

31 Thurber Dr

Waterloo, NY 131651665

Telephone 3155391985
Fax 3155394393
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Waterloo, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
6 Specialists

Practicing in Waterloo, NY (1559 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Mary Grace , LCSW, CASAC, CPP

Social Worker - Clinical

NPI 1033139142

Licensed Clinical Social Worker, CASAC, CPP

David Lee , LMSW

Social Worker

NPI 1043227788

Licensed Master Social Worker

Deborah Stuck

Counselor - Addiction (Substance Use Disorder)

NPI 1083892301
Jennifer Goodison , CTRS

Counselor - Addiction (Substance Use Disorder)

NPI 1134317324
Cherylyn Granger , CASAC

Counselor - Addiction (Substance Use Disorder)

NPI 1154331650
NPI 1164071882

CRPAP

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 28, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location January 28, 2019

Registered at 31 THURBER DR, WATERLOO, NY 131651665 (Tel: 3155391985)

📍
Updated Business Mailing Address January 28, 2019

Registered at 6 TROY STREET, SENECA FALLS, NY 13148 (Tel: 3156519746)

👤
Provider Name / Credentials Updated January 28, 2019

Recorded as ROBERT SHIELDS, CRPA-P

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2019

Peer Specialist

🟢
Initial NPI Registration & Enumeration January 22, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083178214
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 22, 2019
Last Update: January 28, 2019
Sole Proprietor: No

Mailing Address

6 Troy Street

Seneca Falls, NY 13148

Phone: 3156519746

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.