National Provider Identifier
Rahman Rahim Shabazz, CT
Rahman Rahim Shabazz, CT is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Penfield, NY and a listed phone number of (585) 388-6000.
Profile Overview
- NPI
- 1568951820
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- May 02, 2018
- Last Updated
- January 22, 2026
Practice Location
- 2060 Fairport Nine Mile Point RD Ste 400
- Penfield, NY 14526-1749
Phone: (585) 388-6000
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1568951820
- Entity Type
- Individual
- Last Name
- Shabazz
- First Name
- Rahman
- Middle Name
- Rahim
- Credential
- CT
- Mailing Street Address
- 2060 Fairport Nine Mile Point RD Ste 400
- Mailing City
- Penfield
- Mailing State
- NY
- Mailing ZIP Code
- 14526-1749
- Mailing Country
- US
- Mailing Phone
- (585) 388-6000
- Mailing Fax
- (585) 388-6004
- Practice Street Address
- 2060 Fairport Nine Mile Point RD Ste 400
- Practice City
- Penfield
- Practice State
- NY
- Practice ZIP Code
- 14526-1749
- Practice Country
- US
- Practice Phone
- (585) 388-6000
- Practice Fax
- (585) 388-6004
- Enumeration Date
- May 02, 2018
- Last Updated
- January 22, 2026
- Sex
- Male
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- Certification Date
- January 22, 2026
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)