KRISTY SHOCKLEY (NPI# 1003226713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003226713 |
Entity Type | Individual |
Full Name | KRISTY SHOCKLEY |
Credential | M.A. |
Practice Address |
96 W Meadow Rd Lowell MA 01854-1421 |
Practice Telephone | 9788663874 |
Mailing Telephone | 9788663874 |
Enumeration Date | 2014-05-02 |
Last Update Date | 2014-05-02 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TH0100X |
Psychologist Specialization: Health Service |
Behavioral Health & Social Service Providers |
Street Address |
96 W MEADOW RD |
City | LOWELL |
State | MA |
Zip Code | 01854-1421 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780224246 | Alexander C Mellin | Specialist/Technologist | Costello Athletic Center, 275 Riverside Street, Lowell, MA 01854 | 2020-01-13 |
1831656131 | Shaquilla U Terry | Behavior Technician | 810 Broadway St, Apt 5, Lowell, MA 01854 | 2019-02-23 |
1073010187 | John R Dunn | Counselor | Lowell House Inc, 555 Merrimack Street, Lowell, MA 01854 | 2018-04-06 |
1730604661 | Grecia Aybar | Counselor | 11 White Street, Lowell, MA 01854 | 2017-08-11 |
1659812550 | Krystal Demmons | Counselor | 371 Varnum Ave, Lowell, MA 01854 | 2017-03-13 |
1891115366 | Stacey Bourbeau | Counselor | 391 Varnum Avenue Lower Level, Lowell, MA 01854 | 2014-04-23 |
1013270446 | Alexandra Miniati | Internal Medicine | 275 Varnum Ave Riverside Medical Group, Ste 201, Lowell, MA 01854 | 2012-06-20 |
1750608923 | Elisha S Bartlett | Social Worker | 391 Varnum Avenue, Lowell, MA 01854 | 2010-04-28 |
1871820399 | Sandy Ann Thongkhamsouk | Counselor | 391 Varnum St., Lowell, MA 01854 | 2009-11-04 |
1427299007 | Kristin A. Larson | Nurse Practitioner | 220 Pawtucket St Suite 300, University Crossing, Lowell, MA 01854 | 2009-03-12 |
Find all providers in zip 01854 |
Taxonomy Code | 103TH0100X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Health Service |
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992312755 | Daniel Engmann | Psychologist | 316 Main St Ste 202, Worcester, MA 01608-1553 | 2020-09-25 |
1750903738 | Corrina D Salo | Psychologist | 5 Alcott St, Acton, MA 01720-5501 | 2020-05-12 |
1285286047 | Cinthia Diaz-ramirez | Psychologist | 4 Beverly Commons Dr Apt 36, Beverly, MA 01915-5559 | 2019-07-11 |
1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
1124510383 | Deborah Christine Nelson | Psychologist | 39 Boxford Rd, Ipswich, MA 01938-1025 | 2018-06-04 |
1104358696 | Chloe Greenbaum | Psychologist | 872 Massachusetts Avenue, Suite 2-1, Cambridge, MA 02139-2316 | 2017-04-03 |
1801281233 | Maria Abreu | Psychologist | 4 Royal St, Lawrence, MA 01841-4120 | 2015-04-02 |
1174811426 | Rachel Fox-weinberg | Psychologist | 12 Butternut Rd., Westford, MA 01886-1351 | 2011-07-20 |
1770763237 | Lissa Young | Psychologist | 1017 Turnpike St Ste 12c, Canton, MA 02021-2847 | 2007-11-13 |
1770788432 | Mari Janikian | Psychologist | 85 E Newton St # M-912, Boston, MA 02118-2340 | 2007-06-20 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.