Active NPI
Jacob Sheehy
- Behavior Technician
- Shelton, CT
National Provider Identifier
1023920766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1000 Bridgeport Ave Ste 405
Shelton, CT 06484-4660 - Phone
- (203) 993-6592
- Fax
- (475) 203-3328
- NPI assigned
- Sep 18, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | CT | Primary |
Addresses
Primary practice location
1000 Bridgeport Ave Ste 405
Shelton, CT 06484-4660
Mailing address
1000 Bridgeport Ave Ste 405
Shelton, CT 06484-4660
Phone (203) 993-6592
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789689600000",
"number": "1023920766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 BRIDGEPORT AVE STE 405",
"city": "SHELTON",
"state": "CT",
"postal_code": "064844660",
"telephone_number": "203-993-6592",
"fax_number": "475-203-3328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 BRIDGEPORT AVE STE 405",
"city": "SHELTON",
"state": "CT",
"postal_code": "064844660",
"telephone_number": "203-993-6592",
"fax_number": "475-203-3328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEEHY",
"first_name": "JACOB",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-18",
"last_updated": "2026-09-18",
"certification_date": "2026-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CT",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shelton, CT
- David Sharnoff, D.P.M.
- Aileen Shaughnessy, PA
- Shaws Supermarkets Inc (Osco Pharmacy)
- Shayan Senior Care
- Shayan Senior Care (Amada Senior Care Milford CT)
- Kiran Sheikh, M.D.
- Shelton Dental Group LLC (Shelton Dental Group)
- Shelton Dentist LLC
- Shelton Lakes Health Care Center
- Shelton Lakes Health Care Center, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.