SHANNON SHADMAN (NPI# 1518326594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518326594 |
| Entity Type | Individual |
| Full Name | SHANNON SHADMAN |
| Credential | MSMHC, M.ED |
| Practice Address |
436 Cornell Ave Pemberton NJ 08068-1712 |
| Practice Telephone | 4845156125 |
| Mailing Telephone | 4845156125 |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-02-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
37AC00286600 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
436 CORNELL AVE |
| City | PEMBERTON |
| State | NJ |
| Zip Code | 08068-1712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366998502 | Deena Gutch | Counselor | 610 Brownsmills Rd, Pemberton, NJ 08068 | 2016-08-28 |
| 1467738492 | Exceptional Kidz Rehabilitation | Counselor | 43 Elizabeth St, Pemberton, NJ 08068 | 2011-10-21 |
| 1972716603 | Ellen Christine Miller | Occupational Therapy Assistant | 600 Pemberton Browns-mills Road, Pemberton, NJ 08068 | 2007-05-08 |
| 1306346325 | Maryville, Inc | Substance Abuse Rehabilitation Facility | 610 Pemberton Browns Mills Rd, Pemberton, NJ 08068 | 2018-02-16 |
| 1720236631 | Renuka Maringanti | Dentist | 600 Pemberton Browns Mills Rd, Pemberton, NJ 08068 | 2008-09-04 |
| 1053453076 | Chitra Sarvotam | Dentist | 600 Pemberton-browns Mills Road, Pemberton, NJ 08068 | 2007-02-13 |
| 1700182847 | E Estrella Wells | Student in an Organized Health Care Education/Training Program | 50 Budd Ave, Pemberton, NJ 08068-1104 | 2011-02-08 |
| 1417339128 | Jamie Reuter | Behavioral Analyst | 50 Budd Ave, Pemberton, NJ 08068-1104 | 2015-06-18 |
| 1710167614 | Stephen Alan Kloss | Pharmacist | 87 Hanover St, Pemberton, NJ 08068-1131 | 2007-11-07 |
| 1639291248 | Pemberton Township School District | Local Education Agency (LEA) | 1 Egbert St, Pemberton, NJ 08068-1211 | 2007-04-04 |
| Find all providers in zip 08068 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689032682 | Melissa Ryan | Counselor | 51 Brandywine Rd, Pemberton, NJ 08068-1309 | 2016-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518568203 | Shannon Smith | Counselor | 99 Huckleberry Ct, Three Bridges, NJ 08887-2109 | 2020-11-08 |
| 1720689516 | Janice Belarmino | Counselor | 22 5th Ave, Avenel, NJ 07001 | 2020-11-06 |
| 1457951048 | James Peter Gallagher | Counselor | 3005 Vroom Dr, Bridgewater, NJ 08807-7037 | 2020-11-01 |
| 1669072542 | Lauren Marie Didonato | Counselor | 1533 Hillside Dr, Cherry Hill, NJ 08003-3536 | 2020-10-29 |
| 1699375840 | Letitia Schuman | Counselor | 217 N Locust Ave, Marlton, NJ 08053-1787 | 2020-10-27 |
| 1629677703 | Shoshana Yaffa Hochstadter | Counselor | 123 Edgewood Ave, Clifton, NJ 07012-1514 | 2020-10-20 |
| 1992304356 | Virginia Haase | Counselor | 777 Grove Ave, Edison, NJ 08820-2770 | 2020-10-18 |
| 1205434214 | Margaret Sunny Sullivan-fullerton | Counselor | 63 Rockwood Dr, Rockaway, NJ 07866-4152 | 2020-10-12 |
| 1699373860 | William Defilippo | Counselor | 22 Andrea Dr, North Caldwell, NJ 07006-4727 | 2020-10-11 |
| 1093313389 | Gina Kuijlaars | Counselor | 1390 Valley Rd Ste 2c, Stirling, NJ 07980-1346 | 2020-10-09 |
| 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.