DR. ELLYN SUE SHANDER (MD) – Psychiatry Physician, NPI 1134278500

DR. ELLYN SUE SHANDER (MD) is a healthcare provider. based in Stamford, Connecticut. specializing in PSYCHIATRY, NEUROLOGY, PSYCHIATRY. They hold the professional credentials MD. They hold a License No. 024821 (CT). The NPI Number for DR. ELLYN SUE SHANDER (MD) is 1134278500

Main info

Female
Sole Proprietor
47 Years Of Experience
Accepts Medicare Assignment
Name
DR. ELLYN SUE SHANDER (MD)
NPI
1134278500
Phone
(203) 595-9205
Address
1933 LONG RIDGE RD
Enumeration Date
8 January 2007
Last Update Date
19 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2038633000
Graduation Year
1979 (47 years ago)
PAC ID
6608058243
Group Practice PAC ID
3678476710
Professional Enrollment ID
I20110303000398
Address ID
CT068304608GR5XXXXRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness85
Years active:19State licenses:2Digital endpointsOther names

851 PSYCHIATRY in CT

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Provider Addresses for DR. ELLYN SUE SHANDER (MD)

  • 1933, Long Ridge Road, Hunting Ridge, Stamford, Western Connecticut Planning Region, Connecticut, 06903, United States

    STAMFORD, CT 069033201

    Phone: (203) 595-9205

    Fax: (203) 329-8011

    Type: Location

  • 540 LITCHFIELD ST

    TORRINGTON, CT 067906679

    Phone: (972) 449-0540

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-11-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 7 Medicare enrollment records; no due dates published yet.

Enrollment records

7

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110303000398IPsychiatryCTTBD
I20250821004107IPsychiatryFLTBD
I20250822003388IPsychiatryNJTBD
I20250908001685INeurologyCATBD
I20251021000709IPsychiatryPATBD
I20251106000617IPsychiatryVATBD
I20251117003414IPsychiatryMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99212Established patient office or other outpatient visit, 10-19 minutes1313$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 06903)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678476710View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineCT
Nuclear Medicine, Cardiovascular Disease (Cardiology), Internal MedicineNY
Emergency MedicineNY
-CT
Emergency MedicineNY
-CT
Internal MedicineCT
-CT
-CT
-CT

Reviews

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Frequently asked questions

Does DR. ELLYN SUE SHANDER (MD) have a public NPI I can cite?
Public records show DR. ELLYN SUE SHANDER (MD) under NPI 1134278500.
Quick check: is DR. ELLYN SUE SHANDER (MD) active?
Public NPPES data shows DR. ELLYN SUE SHANDER (MD) with an active NPI status right now.
Which specialty label fits DR. ELLYN SUE SHANDER (MD)?
NPPES ties DR. ELLYN SUE SHANDER (MD) to Psychiatry Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. ELLYN SUE SHANDER (MD)?
DR. ELLYN SUE SHANDER (MD) is associated with Stamford, Connecticut in the same public data insurers reference.
Why is information missing for DR. ELLYN SUE SHANDER (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.