Mary Kinsella-Shaw LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MARY KINSELLA-SHAW LLC

Practice address

31 Warrenville Rd
Mansfield Center, CT 06250-1260

Phone

(860) 450-1173

NPI assigned

Dec 3, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Bonnilyn Telesca

Title

Biller

Phone

(203) 668-1613

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1013554518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 WARRENVILLE RD",
            "city": "MANSFIELD CENTER",
            "state": "CT",
            "postal_code": "062501260",
            "telephone_number": "860-450-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 WARRENVILLE RD",
            "city": "MANSFIELD CENTER",
            "state": "CT",
            "postal_code": "062501260",
            "telephone_number": "860-450-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY KINSELLA-SHAW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-03",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "TELESCA",
        "authorized_official_first_name": "BONNILYN",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "203-668-1613"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chase Marks
• Amy Elizabeth Marlow, R.N.
• Yvette Martas, M.D.
• Craig Martin, M.D.
• Patrice Larae Martin, LPC
• Sonya Mastersen
• Deborah Lee McGeehan, PHD
• Leah McGennis, LMSW
• McLaughlin & Associates L.L.C.
• Kathy Medbery, LPC

• Professional Counselor in Mansfield Center, CT
• Providers in Mansfield Center, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.