Shelly Isaacs, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6209 Issued in MA

Practice address

2364 Washington St
Newton, MA 02462-1440

Phone

(617) 332-2047

Fax

(617) 332-7341

NPI assigned

Jan 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Isaacs & Associates

  • Clinical Social Worker
  • Walpole, MA
  • NPI 1356402879
  NPD (past) Authorized official
• Newton-Wellesley Psychiatry

  • Psychiatry Physician
  • Wellesley, MA
  • NPI 1427029297

  Clinical

  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207785600000",
    "number": "1053382887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2364 WASHINGTON ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621440",
            "telephone_number": "617-332-2047",
            "fax_number": "617-332-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2364 WASHINGTON ST",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024621440",
            "telephone_number": "617-332-2047",
            "fax_number": "617-332-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISAACS",
        "first_name": "SHELLY",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2008-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "6209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "W04945",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Integrated Learning Academy Newton
• Integrated Learning Academy Newton
• Integrated Learning Academy Newton
• Integrative Dermatology PC
• Despina Ioannidis, PHARMD
• Midoriko Ishigaki, DMD
• Anna Israel
• Carol Ann Ivan, PH.D.
• Amy Ivanoski
• Jackymore K Iwuala

• Clinical Psychologist in Newton, MA
• Providers in Newton, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.