SOFIA SHAHID (NPI# 1902415250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902415250 |
| Entity Type | Individual |
| Full Name | SOFIA SHAHID |
| Practice Address |
22 Old Canal Dr Lowell MA 01851-2730 |
| Mailing Address |
110 Rochester St Westbrook ME 04092-4265 |
| Practice Telephone | 9784536800 |
| Mailing Telephone | 2074170053 |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 110 Rochester St, Westbrook, ME 040924265 | 2074170053 |
| Street Address |
22 OLD CANAL DR |
| City | LOWELL |
| State | MA |
| Zip Code | 01851-2730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730339045 | Martha Sue Root | Nurse Practitioner | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2008-09-23 |
| 1093315483 | Ginta Bistras | Counselor | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2020-10-27 |
| 1689281354 | Christine Carr | Social Worker | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2020-09-28 |
| 1679188353 | Lindsey Burgess | Counselor | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2020-09-10 |
| 1952913535 | Jacquelynn Rodriguez | Case Manager/Care Coordinator | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2020-08-17 |
| 1790301844 | Dereck Ceurvels I | Counselor | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2020-06-24 |
| 1235750407 | Emily Fischofer | Community Health Worker | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2020-04-29 |
| 1659904787 | Michael Gorman | Counselor | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2020-02-18 |
| 1629618764 | Paul Rith Som | Counselor | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2020-01-07 |
| 1972149953 | Aubrey Leigh Diaz | Community Health Worker | 22 Old Canal Dr, Lowell, MA 01851-2730 | 2019-11-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508340233 | Tara D Gabriel | Social Worker | 130 Pine Street, Lowell, MA 01851 | 2018-09-19 |
| 1699257022 | Jennifer Walsh Favreau | Social Worker | 740 Princeton Blvd. Apt. 22, Lowell, MA 01851 | 2018-09-01 |
| 1366951022 | Natalie V Lopez | Counselor | 507 Redwood Ln, Lowell, MA 01851 | 2017-09-26 |
| 1962929877 | Dependable Transportation Inc. | Non-emergency Medical Transport (VAN) | 45 Pratt Ave, Unit 4, Lowell, MA 01851 | 2017-08-23 |
| 1053851733 | Excel Dental, P.C. | Dentist | 158 Wood Street, Unit 3, Lowell, MA 01851 | 2017-03-01 |
| 1982067468 | Vishal Sohal | Dentist | 26 Wood St, Dental Dreams, Lowell, MA 01851 | 2016-04-01 |
| 1689067407 | Craig David Milliken | Social Worker | 319 Wilder Street, Lowell, MA 01851 | 2015-03-18 |
| 1063801413 | Michael Bobola | Counselor | 22 Old Canal Drrive, Lowell, MA 01851 | 2015-01-22 |
| 1124422944 | Greater Lowell Private Nursing Services and Education | Home Health | 963 Chelmsford Street, Lowell, MA 01851 | 2014-10-22 |
| 1669886602 | Chitrang B. Patel | Dentist | 158 Wood St Unit 3, Lowell, MA 01851 | 2014-06-18 |
| Find all providers in zip 01851 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366055279 | Blanca Valencia | Student in an Organized Health Care Education/Training Program | 141 Baldwin St, Lowell, MA 01851-1553 | 2020-08-29 |
| 1497395842 | Brian Pellicano | Student in an Organized Health Care Education/Training Program | 1401 Pawtucket Blvd Unit 3, Lowell, MA 01854-4909 | 2020-01-14 |
| 1851931430 | Ocean Ngoc Nguyen | Student in an Organized Health Care Education/Training Program | 11 Bachelder St, Lowell, MA 01854-3001 | 2020-01-10 |
| 1487122818 | Jacinta Chinwe Schmidt | Student in an Organized Health Care Education/Training Program | 1260 Westford St Apt C24, Lowell, MA 01851-2764 | 2018-11-03 |
| 1609375922 | Hailey Lauren Mcnee | Student in an Organized Health Care Education/Training Program | 2008 Naples Ave, Lowell, AR 72745-8905 | 2018-02-02 |
| 1831511492 | Christina Marchio | Student in an Organized Health Care Education/Training Program | 1461 Pawtucket Blvd # A4, Lowell, MA 01854-1071 | 2014-01-15 |
| 1710269592 | Mamadou Aliou Balde | Student in an Organized Health Care Education/Training Program | 399 Walker St, 29, Lowell, MA 01851-2555 | 2011-09-16 |
| 1538393913 | Melissa Ann Nigro | Student in an Organized Health Care Education/Training Program | 148 Warren St., Lowell, MA 01852-2208 | 2009-05-13 |
| 1972786002 | Peter Kuhlmann | Student in an Organized Health Care Education/Training Program | 585-597 Merrimack St, Lowell, MA 01854-3908 | 2007-12-12 |
| 1801958814 | Jennifer Marie Robtoy | Student in an Organized Health Care Education/Training Program | 148 Warren Ave, Lowell, MA 01851 | 2006-12-15 |
| Find all providers in LOWELL | ||||
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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.