KRISTY SHOCKLEY


Address: 96 W Meadow Rd, Lowell, MA 01854-1421
Phone: 9788663874

KRISTY SHOCKLEY (NPI# 1003226713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TH0100X Psychologist
Specialization: Health Service
Behavioral Health & Social Service Providers

Office Location

Street Address 96 W MEADOW RD
City LOWELL
State MA
Zip Code 01854-1421

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1891115366 Stacey Bourbeau Counselor 391 Varnum Avenue Lower Level, Lowell, MA 01854 2014-04-23
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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
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Taxonomy Information

Taxonomy Code 103TH0100X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Health Service

Taxonomy Definition

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]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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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
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Competitor

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City LOWELL
Zip Code 01854

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Dataset Information

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.

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