MISS ALYSSA ANN SHOCK


Address: 1695 Main St, Suite 400, Springfield, MA 01103-1063
Phone: 4137395572

MISS ALYSSA ANN SHOCK (NPI# 1073174371) 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) 1073174371
Entity Type Individual
Full Name MISS ALYSSA ANN SHOCK
Credential DOCTORAL STUDENT
Practice Address 1695 Main St
Suite 400
Springfield
MA 01103-1063
Mailing Address 156 Brook St
Dumont
NJ 07628-2425
Practice Telephone 4137395572
Mailing Telephone 2015270902
Enumeration Date 2019-06-26
Last Update Date 2019-06-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 1695 MAIN ST
SUITE 400
City SPRINGFIELD
State MA
Zip Code 01103-1063

Providers in the same location

NPI Name Taxonomy Address Enumeration
1255450631 Community Services Institute, Inc. Community/Behavioral Health 1695 Main St, Suite 400, Springfield, MA 01103-1348 2007-03-28
1669087235 Ashley Marie Jediny Social Worker 1695 Main St, Springfield, MA 01103-1348 2020-09-10
1437794914 Dominick Joseph Smith Counselor 1695 Main St, Springfield, MA 01103-1348 2019-11-08
1205477304 Kianna G Pinkney- Brown Counselor 1695 Main St, Springfield, MA 01103-1348 2019-10-01
1114585700 Emely T Bonilla Rodriguez Counselor 1695 Main St, Springfield, MA 01103-1348 2019-05-30
1104397181 Keith P Dixon Counselor 1695 Main St, Springfield, MA 01103-1348 2018-12-17
1760957708 Yesenia Rodriguez Counselor 1695 Main St, Springfield, MA 01103-1348 2018-10-05
1649754177 Emily Polutchko Counselor 1695 Main St, Springfield, MA 01103-1348 2018-09-20
1982188496 Meg Marie Solitario Counselor 1695 Main St, Springfield, MA 01103-1348 2018-09-20
1225510555 Thomas James Delphia Counselor 1695 Main St, Springfield, MA 01103-1348 2018-09-04
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336790609 Mahmoud Al Homsi Dentist 41 Taylor St. 4th Fl, Springfield, MA 01103 2019-09-26
1427521749 Pedro Cruz Student in an Organized Health Care Education/Training Program 95 Frank B Murray, Springfield, MA 01103 2019-01-09
1003325010 Amber Lynn Chisholm Counselor 130 Maple St., Springfield, MA 01103 2017-09-21
1750737391 Mande' Counseling Community/Behavioral Health 1365 Main St Suite 401, Springfield, MA 01103 2016-05-13
1528467248 Amanda M Galloway Physician Assistant 1038-1050 Main St, Springfield, MA 01103 2014-08-19
1114326113 Anne Marie Belinda Nurse Practitioner 1049 Main St., Springfield, MA 01103 2014-08-15
1538575295 Sunrise Behavioral Health Clinic, LLC Clinic/Center 95 Frank B. Murray Street, Springfield, MA 01103 2014-07-02
1548675093 Jessica Lynn Pasalacqua Dietitian, Registered 870 Main St., Springfield, MA 01103 2014-06-24
1003220443 Ivan Rosario Counselor 1695 Main St Ste400, Springfield, MA 01103 2014-06-13
1275964769 Leeandrew Rick Wilson Counselor 1695 Main St., Springfield, MA 01103 2013-12-09
Find all providers in zip 01103

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538773361 Aarika Danielle Gardner Student in an Organized Health Care Education/Training Program 560 W Bryant Apt D207, Springfield, MO 65810-8329 2020-08-31
1134743073 Jared Saylor Student in an Organized Health Care Education/Training Program 901 S National Ave, Prof 160, Springfield, MO 65897 2020-06-06
1659995694 Erin Bowler Student in an Organized Health Care Education/Training Program 51 Ingersoll Grv, Springfield, MA 01109-4010 2020-06-05
1063035483 Mary Anne Iellamo Student in an Organized Health Care Education/Training Program 3400 Main St Fl 2, Springfield, MA 01199-1003 2020-05-20
1760005359 Hannah Elizabeth Schumann Student in an Organized Health Care Education/Training Program 1621 E Lark St, Springfield, MO 65804-4351 2020-05-18
1962024109 Brittany Nicole Campbell Student in an Organized Health Care Education/Training Program 2266 Boysenberry Ln Apt 4, Springfield, IL 62711-5414 2020-05-11
1518587286 Emily Lyn Street Student in an Organized Health Care Education/Training Program 38 Country Pl, Springfield, IL 62703-5310 2020-04-22
1730709411 Mary Kathleen Simon Student in an Organized Health Care Education/Training Program 1820 S Wiggins Ave, Springfield, IL 62704-3335 2020-04-22
1225658131 Sarah Colby Mchugh Student in an Organized Health Care Education/Training Program 759 Chestnut St # S5427, Springfield, MA 01199-0001 2020-04-21
1346879889 Ashly Seby Student in an Organized Health Care Education/Training Program 86 Redwood Rd Fl 3, Springfield, NJ 07081-2426 2020-04-06
Find all providers in SPRINGFIELD

Competitor

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City SPRINGFIELD
Zip Code 01103

Improve Information

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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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