P Praxis·MD
● Active Type 1 · Individual

DR. Yasha P. Shine, PSYD

Psychologist·Athens, GA· NPI 1558039313 · Enumerated 2021 · 4 years on NPI
Shine is 1 of 47 psychologist providers in Athens and 1 of 1487 in Georgia.
NPI age
4 years
Enumerated 2021-09-05
Primary specialty
Psychologist
Licensed in
FL
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-09-05
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1487 active psychologist providers in Georgia.

NPI age
4 years
↓ 13 yr below median (17 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
18% of peers hold subspecialties

NPI lifetime · 2021 → 2026

2021-09Enumerated in NPPES
2021 2026

Where they practice

Practice location
1040 Gaines School Rd Apt 121
Athens, GA 306056335
📞 6268147850
Mailing address
1040 Gaines School Rd Apt 121
Athens, GA 306056335

Specialties

  • Psychologist Primary
    A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a...
    FL license #PY-11229 taxonomy 103TC0700X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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