Active NPI
Robert Keith Shaw, PH.D.
- Psychologist
- Boston, MA
National Provider Identifier
1073605267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSYCHOLOGY 01224
- Practice address
- 150 S. Huntington Avenue
Boston, MA 02130 - Phone
- (857) 364-4074
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSYCHOLOGY 01224 | MO | |
| Family Psychologist | 103TF0000X | |||
| Psychologist | 103T00000X | PSYCHOLOGY 01224 | MO | Primary |
Addresses
Primary practice location
150 S. Huntington Avenue
Boston, MA 02130
Mailing address
24 Canterbury Street
Hingham, MA 02043
Phone (781) 875-1982
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSYCHOLOGY 01224 | MO | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1073605267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 CANTERBURY STREET",
"city": "HINGHAM",
"state": "MA",
"postal_code": "02043",
"telephone_number": "781-875-1982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 S. HUNTINGTON AVENUE",
"city": "BOSTON",
"state": "MA",
"postal_code": "02130",
"telephone_number": "857-364-4074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW",
"first_name": "ROBERT",
"middle_name": "KEITH",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MO",
"license": "PSYCHOLOGY 01224",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MO",
"license": "PSYCHOLOGY 01224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.