Provider Demographics
NPI:1689071680
Name:BAT-SHIMON, YAEL (LMHC)
Entity type:Individual
Prefix:
First Name:YAEL
Middle Name:
Last Name:BAT-SHIMON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 MAIN ST UNIT 1208
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-7804
Mailing Address - Country:US
Mailing Address - Phone:401-782-7927
Mailing Address - Fax:
Practice Address - Street 1:1005 MAIN ST UNIT 1208
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-7804
Practice Address - Country:US
Practice Address - Phone:401-782-7927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-20
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIMHC00728101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIGH57134Medicaid