DR. SHOSHANNA S SHELLEY (NPI# 1639262447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639262447 |
| Entity Type | Individual |
| Full Name | DR. SHOSHANNA S SHELLEY |
| Credential | ED.D |
| Practice Address |
11 Beaver Meadow Road Norwich VT 05055 |
| Mailing Address |
Po Box 4 Norwich VT 05055 |
| Practice Telephone | 8026491123 |
| Practice Fax Number | 8026491141 |
| Mailing Telephone | 8026491123 |
| Mailing Fax Number | 8026491141 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 3054 | MA | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 401 | VT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | OVN0587 | 05 |
| Street Address |
11 BEAVER MEADOW ROAD |
| City | NORWICH |
| State | VT |
| Zip Code | 05055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760416101 | Gosha Donnelly | Psychologist | 11 Beaver Meadow Road, Suite 4, Office 2, Norwich, VT 05055 | 2006-07-10 |
| 1770795445 | Amy Fleischer | Social Worker | 11 Beaver Meadow Road, 11 Beaver Meadow Road, Norwich, VT 05055-1257 | 2007-05-04 |
| 1831218049 | Lori Jannen | Psychologist | 11 Beaver Meadow Road, Norwich, VT 05055 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518593896 | Archer Dental Plc | Dentist | 303 Us Route 5 South, Norwich, VT 05055 | 2020-03-18 |
| 1275993800 | Stephanie Chesnut | Marriage & Family Therapist | 298 Main Street, Burton House, Norwich Square, Norwich, VT 05055 | 2016-02-24 |
| 1942644711 | Ji Chen | Pharmacist | 136 Stowell Road, Norwich, VT 05055 | 2013-04-24 |
| 1114102936 | Kate Elizabeth Van Arman | Nurse Practitioner | 130 Union Village Road, Norwich, VT 05055 | 2007-12-31 |
| 1932303575 | Frances Groves Prosser-riessen | Physical Therapist | 16 Beaver Meadow Rd, Norwich, VT 05055 | 2007-06-14 |
| 1457563389 | Mollie B Brooks | Social Worker | 89 Church Street, Norwich, VT 05055 | 2007-05-04 |
| 1508904913 | Doreen Gail Schweizer | Social Worker | 303 Route 5 South, Norwich, VT 05055 | 2007-02-01 |
| 1154495349 | Nancy E Baker Licsw PC | Social Worker | 186 Beaver Meadow Rd, Norwich, VT 05055 | 2006-11-20 |
| 1730259797 | James Maurice Napier | Psychiatry & Neurology | 295 Main Street, Norwich, VT 05055 | 2006-11-08 |
| 1942303938 | Eleanor J Anderson | Psychologist | 289 Main Street, The Burton House, Norwich, VT 05055 | 2006-09-06 |
| Find all providers in zip 05055 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598070906 | Alfred C. Barnes IIi | Psychologist | 30 S Broad St, Norwich, NY 13815-1773 | 2010-08-10 |
| 1801921788 | Eve M. Zukowski | Psychologist | 336 Kerwin Hill Rd, Norwich, VT 05055-9309 | 2007-02-22 |
| 1396832739 | Richard A. Rablen | Psychologist | 22 Case St., Norwich, CT 06360-2215 | 2006-10-06 |
| 1235537374 | Holly Silva | Psychologist | 326 Washington St, Norwich, CT 06360-2740 | 2014-12-05 |
| 1194141259 | Daphne Mccampbell | Psychologist | 289 Main St., Norwich, VT 05055 | 2014-03-13 |
| 1801919055 | Michael Kaiser | Psychologist | 326 Washington St, Norwich, CT 06360-2740 | 2007-04-10 |
| 1164599288 | Nancy Anderson | Psychologist | 326 Washington St, William W Backus Hospital, Norwich, CT 06360 | 2006-11-30 |
| 1164599031 | Joseph Patrick Lang | Psychologist | 401 West Thames Street, Southeastern Mental Health Authority Bldg 301, Norwich, CT 06360 | 2006-11-29 |
| 1811060221 | Mark A Gould | Psychologist | 401 West Thames Street, Southeastern Mental Health Authority Bldg 301, Norwich, CT 06360 | 2006-11-15 |
| 1326117540 | Thomas Dziadosz | Psychologist | 326 Washington St, William W Backus Hospital, Norwich, CT 06360 | 2006-11-06 |
| Find all providers in NORWICH | ||||
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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.