The Shaw Agency, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE SHAW AGENCY, INC.

Practice address

12 Damascus Rd
Fairfield, ME 04937-4307

Phone

(207) 453-7987

Fax

(207) 453-7987

NPI assigned

Nov 20, 2013

Last updated

Nov 20, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Roberta Esther Shaw, L.C.P.C., C.A.D.C.NPI 1386797280

Title

Owner/Operator

Phone

(207) 453-7987

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roberta E Shaw, L.C.P.C.

  • Professional Counselor
  • Fairfield, ME
  • NPI 1386797280
  Authorized official Same address or phone

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

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384905600000",
    "number": "1205266756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 DAMASCUS RD",
            "city": "FAIRFIELD",
            "state": "ME",
            "postal_code": "049374307",
            "telephone_number": "207-453-7987",
            "fax_number": "207-453-7987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 DAMASCUS RD",
            "city": "FAIRFIELD",
            "state": "ME",
            "postal_code": "049374307",
            "telephone_number": "207-453-7987",
            "fax_number": "207-453-7987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SHAW AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-20",
        "last_updated": "2013-11-20",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "ESTHER",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "207-453-7987",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.C.P.C., C.A.D.C."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Stackpole, LADC, CCS
• Christine Marie Stevens-Sheehan, LCPC
• Stacey N Stevens, DDS
• Mary J Sullivan, SLP
• Heidi Lynn Thacker
• Thi of Maine
• Joel Leigh Thornton, LSWC
• June Muriel Thurston, LSWC
• Caroline Walsh Toto-Lawrence, MHRT/C
• Town of Fairfield

• Community/Behavioral Health Agency in Fairfield, ME
• Providers in Fairfield, ME by specialty
• Community/Behavioral Health Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; 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.