Shelby Ortega, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

9424 Issued in MA

Practice address

32 Church St Ste 2C
Salem, MA 01970-3737

Phone

(617) 453-8501

NPI assigned

Jun 4, 2007

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1063614899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 CHURCH ST STE 2C",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019703737",
            "telephone_number": "617-453-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 CHURCH ST STE 2C",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019703737",
            "telephone_number": "617-453-8501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "32 Church St Ste 2C",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "MA",
            "postal_code": "019703737",
            "country_code": "US",
            "telephone_number": "617-640-1527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "MGH Charlestown Health Ctr",
            "address_2": "73 High St",
            "address_purpose": "LOCATION",
            "city": "Charlestown",
            "state": "MA",
            "postal_code": "02129",
            "country_code": "US",
            "telephone_number": "617-724-8200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "875 Massachusetts Ave Ste 71",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "MA",
            "postal_code": "021393071",
            "country_code": "US",
            "telephone_number": "617-640-1527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "32 Church St Ste 2C",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "MA",
            "postal_code": "019703737",
            "country_code": "US",
            "telephone_number": "617-453-8501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ORTEGA",
        "first_name": "SHELBY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-04",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "9424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.