SHADI ZAGHLOUL (NPI# 1336157007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336157007 |
| Entity Type | Individual |
| Full Name | SHADI ZAGHLOUL |
| Credential | MD |
| Practice Address |
42 Wright St Palmer MA 01069-1156 |
| Mailing Address |
280 Chestnut St 2nd Fl Springfield MA 01199-1001 |
| Practice Telephone | 4133705285 |
| Practice Fax Number | 4133705384 |
| Mailing Telephone | 4137945700 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2019-01-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
227579 | MA | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
227579 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
42 WRIGHT ST |
| City | PALMER |
| State | MA |
| Zip Code | 01069-1156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083649222 | Jessica R Senecal-bennett | Social Worker | 42 Wright St, Palmer, MA 01069 | 2006-07-12 |
| 1689155913 | Shalina Wray | Registered Nurse | 42 Wright St, Palmer, MA 01069-1156 | 2018-08-24 |
| 1699223263 | Jane Ricci | Student in an Organized Health Care Education/Training Program | 42 Wright St, Palmer, MA 01069-1156 | 2016-09-13 |
| 1740644913 | Sean S Bennett | Psychiatry & Neurology | 42 Wright St, Palmer, MA 01069-1156 | 2016-04-13 |
| 1972967750 | Dean Charles Hudson | Social Worker | 42 Wright St, Palmer, MA 01069-1156 | 2016-04-07 |
| 1831552108 | Lilith G. Wolinsky | Social Worker | 42 Wright St, Palmer, MA 01069-1156 | 2016-04-03 |
| 1255724308 | James Edward Bernhard | Nurse Practitioner | 42 Wright St, Palmer, MA 01069-1156 | 2015-03-13 |
| 1821429002 | Robin M Powell | Social Worker | 42 Wright St, Palmer, MA 01069-1156 | 2013-12-12 |
| 1548515711 | Judith Jorge-leonard | Nurse Practitioner | 42 Wright St, Palmer, MA 01069-1156 | 2012-07-13 |
| 1851655088 | Edward James Bird | Social Worker | 42 Wright St, Palmer, MA 01069-1156 | 2012-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962979328 | Jacqueline Pahl | Social Worker | 11 Oakland St., Palmer, MA 01069 | 2018-10-24 |
| 1891277240 | Katherine Beliveau | Developmental Therapist | 1581 N. Main Street, Palmer, MA 01069 | 2018-09-02 |
| 1730606740 | Jordan Elizabeth Pike | Physician Assistant | 40 Wirght, Palmer, MA 01069 | 2017-08-30 |
| 1265880405 | Brittany Ford | Specialist/Technologist | 4105 Main St, Palmer, MA 01069 | 2016-05-27 |
| 1417263021 | Deborah Lee Stroetzel I | Audiologist-Hearing Aid Fitter | 40 Wright St., Palmer, MA 01069 | 2010-08-20 |
| 1063635399 | Department of Developmental Services | Intermediate Care Facility, Mentally Retarded | Monson Dev Cntr, 175 State Ave, Palmer, MA 01069 | 2007-04-11 |
| 1124149273 | Pruushotam Puri | Surgery | Wright Street, Palmer, MA 01069 | 2007-04-03 |
| 1679582019 | Richard Michael Gondek | Dentist | 1436 Main St, Palmer, MA 01069 | 2006-08-05 |
| 1396770632 | Daniel Shapiro | Social Worker | Wing Memorial Hospital Griswold Center, 40 Wright Street, Palmer, MA 01069 | 2006-07-12 |
| 1386142040 | Benjamin R Velardi | Nurse Practitioner | 40 Wright Street, Palmer, MA 01069 | 2018-01-29 |
| Find all providers in zip 01069 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881203701 | Hoffman Psychiatric Services | Psychiatry & Neurology | 144a Mount Auburn St Ste 2a, Cambridge, MA 02138-5776 | 2020-07-27 |
| 1639603566 | Chayanin Foongsathaporn | Psychiatry & Neurology | Tufts Medical Center 800 Washington Street #1007, Boston, MA 02111 | 2017-04-18 |
| 1922386887 | Firas Abdussalam Nakshabandi | Psychiatry & Neurology | 940 Belmont St Bldg 5, (116a7) Psychiatry Education Attn: Marie, Brockton, MA 02301-5596 | 2011-07-26 |
| 1548556046 | Barton S Herskovitz Md PC | Psychiatry & Neurology | 460 Hillside Ave, Suite 3e, Needham, MA 02494-1279 | 2011-06-22 |
| 1326368325 | Circle of Life Md LLC | Psychiatry & Neurology | 203 Willow St Bldg B, South Hamilton, MA 01982-2292 | 2010-06-02 |
| 1740505353 | Erica Lisa Greenberg | Psychiatry & Neurology | 185 Cambridge St Ste 2000, Boston, MA 02114 | 2010-04-07 |
| 1245461714 | Ronald Geraty | Psychiatry & Neurology | 295 Ocean Ave, Marblehead, MA 01945-3728 | 2009-08-01 |
| 1023252459 | Kyu Won Lee | Psychiatry & Neurology | 19 Kendall Ter, Newton, MA 02458-2021 | 2009-04-29 |
| 1851534788 | Serena Fernandes | Psychiatry & Neurology | 300 Longwood Ave # Fegan8, Boston, MA 02115-5724 | 2009-04-07 |
| 1114190097 | Dana B Sarvey | Psychiatry & Neurology | 115 Mill St # Ms 129, Belmont, MA 02478-1048 | 2008-04-10 |
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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.