DR. LISA SHAW (NPI# 1982740627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982740627 |
Entity Type | Individual |
Full Name | DR. LISA SHAW |
Credential | PH.D. |
Practice Address |
344 Harvard St Suite #1 Brookline MA 02446-2917 |
Mailing Address |
56 Marshal St # 3 Brookline MA 02446-5423 |
Practice Telephone | 6172776286 |
Practice Fax Number | 6172776286 |
Mailing Telephone | 6172776286 |
Mailing Fax Number | 6172776286 |
Enumeration Date | 2007-01-29 |
Last Update Date | 2007-07-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 103G00000X | Clinical Neuropsychologist | 3659 | MA | Behavioral Health & Social Service Providers |
X | 103T00000X | Psychologist | 3659 | MA | Behavioral Health & Social Service Providers |
X | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
3659 | MA | Behavioral Health & Social Service Providers |
X | 103TC0700X |
Psychologist Specialization: Clinical |
3659 | MA | Behavioral Health & Social Service Providers |
X | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
3659 | MA | Behavioral Health & Social Service Providers |
X | 103TF0000X |
Psychologist Specialization: Family |
3659 | MA | Behavioral Health & Social Service Providers |
X | 103TH0100X |
Psychologist Specialization: Health Service |
3659 | MA | Behavioral Health & Social Service Providers |
X | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
3659 | MA | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | 0514489 | 05 | |
MA | BCBSMA PROVIDER NUMBER | W03688 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497146229 | Lisa Shaw | Physical Therapist | 659 Commercial St, Suite 101, San Francisco, CA 94111 | 2015-02-16 |
1063859809 | Lisa Shaw | General Practice | Bldg 10506 Euphrates River Valley Road, Connor Troop Medical Center, Fort Drum Ny, Apo, AA 13602 | 2013-06-03 |
1164628152 | Lisa Helms Shaw | Physical Therapist | 3302 Lantern Coach Ln Ne, Roswell, GA 30075-3195 | 2007-06-26 |
1245453356 | Lisa M Shaw | Physical Therapist | 9729 N White Tail Trl, Stillman Valley, IL 61084-9401 | 2007-04-10 |
1629176938 | Lisa Shaw | Social Worker | 2640 West Point Rd, Green Bay, WI 54304-1344 | 2006-09-20 |
1356321764 | Lisa K Shaw | Assistant, Podiatric | 6100 Old Johnstown Rd, Harrisburg, PA 17112 | 2006-01-20 |
1154951317 | Lisa Shaw | Case Manager/Care Coordinator | 22001 Fairmount Blvd, Shaker Heights, OH 44118-4819 | 2020-01-16 |
1952892366 | Lisa Cindy Shaw | Acupuncturist | 1850 Fairway Dr, San Leandro, CA 94577-5629 | 2018-05-21 |
1902314404 | Lisa Shaw | Registered Nurse | 930 Bethesda Dr, Zanesville, OH 43701-0815 | 2018-01-18 |
1417478199 | Lisa Nicole Shaw | Specialist/Technologist | 12411 Slauson Ave, Whittier, CA 90606-2835 | 2017-07-03 |
Street Address |
344 HARVARD ST SUITE #1 |
City | BROOKLINE |
State | MA |
Zip Code | 02446-2917 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497720577 | Adam Silk | Psychiatry & Neurology | 344 Harvard St, Brookline, MA 02446-2917 | 2006-02-21 |
1578807244 | Niki Birbilis | Counselor | 344 Harvard St, Suite 2, Brookline, MA 02446-2917 | 2012-11-20 |
1255547857 | Emily Berthe Luckett | Social Worker | 344 Harvard St, Suite 2, Brookline, MA 02446-2917 | 2007-05-14 |
1396884102 | Ellen L Ziskind | Social Worker | 344 Harvard St, Brookline, MA 02446-2917 | 2007-02-06 |
1043365927 | Amy Pearsall | Family Medicine | 344 Harvard St, 3, Brookline, MA 02446-2917 | 2007-01-24 |
1992862031 | Kathleen Mary Mclean | Psychologist | 344 Harvard St, Suite 1, Brookline, MA 02446-2917 | 2007-01-01 |
1407933088 | Margaret Mary Mulqueen | Psychologist | 344 Harvard St, Brookline, MA 02446-2917 | 2006-11-01 |
1750461711 | Katherine Cooke Turnbull | Psychologist | 344 Harvard St, Suite One, Brookline, MA 02446-2917 | 2006-10-16 |
1710089289 | Eden J Brenner | Counselor | 344 Harvard St, Suite 2, Brookline, MA 02446-2917 | 2006-09-03 |
1518078815 | Erin Lee Spencer | Social Worker | 344 Harvard St, Suite 2, Brookline, MA 02446-2917 | 2006-08-31 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588218127 | Mohammad Ali Zafar | Social Worker | 11 Stearns Rd Apartment#1, Brookline, MA 02446 | 2019-08-01 |
1730659368 | Boston Family Therapy & Wellness Pllc | Clinic/Center | 1330 Beacon Street Suite 263, Brookline, MA 02446 | 2018-11-27 |
1518442078 | Elizabeth Dorsey | Social Worker | Boston Graduate School of Psychoanalysis, 1581 Beacon Street, Brookline, MA 02446 | 2018-10-01 |
1467936732 | Helen Elizabeth Weiner | Social Worker | 6 Churchill Sstreet, Brookline, MA 02446 | 2018-09-21 |
1285116640 | Dawn Higgins | Social Worker | 227 Summit Avenue W304, Brookline, MA 02446 | 2018-09-03 |
1528540978 | Shana Joan Turowitz | Social Worker | 156 Lawton Street, Brookline, MA 02446 | 2018-09-02 |
1528563996 | Lauren H Shin | Pediatrics | 150 Pleasant St Unit 309, Brookline, MA 02446 | 2018-03-28 |
1821512872 | Ilana Lindsay Cooper | Psychologist | 1093 Beacon St Ste 401, Brookline, MA 02446 | 2017-08-01 |
1538683735 | Elizabeth Apkin | Psychologist | 1330 Beacon Street Suite 201, Brookline, MA 02446 | 2017-07-29 |
1366963258 | Maria Antonietta Mazzola | Psychiatry & Neurology | 57 Manchester Rd, Brookline, MA 02446 | 2017-06-29 |
Find all providers in zip 02446 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447394846 | Richard B Gould | Clinical Neuropsychologist | 99 Kent St # 7106, Brookline, MA 02445-7955 | 2007-02-18 |
1184780561 | Neal Mcgrath | Clinical Neuropsychologist | 1368 Beacon St Ste 116, Brookline, MA 02446-2800 | 2006-12-29 |
1639251093 | Ravi Gatha | Clinical Neuropsychologist | 41 Garrison Rd, Brookline, MA 02445-4445 | 2006-10-19 |
1912569617 | Jennifer Grace Forrester | Clinical Neuropsychologist | 1368 Beacon St, Brookline, MA 02446-2872 | 2019-07-02 |
1962927947 | Vanessa D'orio | Clinical Neuropsychologist | 1368 Beacon St Ste 116, Brookline, MA 02446-2800 | 2017-08-10 |
1700241130 | Samantha Johnston | Clinical Neuropsychologist | 26 Edgehill Rd, Brookline, MA 02445-7722 | 2015-12-30 |
1780052944 | University Neuropsychology, Inc. | Clinical Neuropsychologist | 364 Harvard St, Suite 1, Brookline, MA 02446-2920 | 2015-09-04 |
1407250863 | Kara M Fitzgerald | Clinical Neuropsychologist | 1180 Beacon St Ste 4b, Brookline, MA 02446 | 2014-10-14 |
1285983759 | Alexandra Jackson | Clinical Neuropsychologist | 1368 Beacon St Ste 116, Brookline, MA 02446-2800 | 2012-08-30 |
1861636045 | University Neuropsychology, Inc. | Clinical Neuropsychologist | 364 Harvard St, Suite 1, Brookline, MA 02446-2920 | 2009-05-01 |
Find all providers in BROOKLINE |
Please comment or provide details below to improve the information on DR. LISA SHAW.
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.