Shannon Dooley

Primary specialty

CounselorTaxonomy code 101Y00000X

License

37PC00789900 Issued in NJ

Practice address

2 Paragon Way Ste 1000
Freehold, NJ 07728-7897

Phone

(732) 393-8391

Fax

(732) 308-4500

NPI assigned

Oct 6, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1154083277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PARAGON WAY STE 1000",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077287897",
            "telephone_number": "732-393-8391",
            "fax_number": "732-308-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PARAGON WAY STE 1000",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077287897",
            "telephone_number": "732-393-8391",
            "fax_number": "732-308-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOLEY",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37PC00789900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.treeoflifecc.org",
            "affiliation": "N",
            "address_1": "2 Paragon Way Ste 1000",
            "city": "Freehold",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "077287897",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dilip M Donde, MD
• Mrunalinin Donde, M.D.
• Olivia Donini
• Justin Colin Donnamaria
• Kyle Donohue, PTA
• Adam Douglas, MD
• Brianne Nicole Downey, BA, CADC
• Timothy A. Dowse, PA-C
• Doze Concern LLC
• Dr Khaled Al Alwani PC

• Counselor in Freehold, NJ
• Providers in Freehold, NJ by specialty
• Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.