Organization Active NPI

Vivian a. Shelton, Psy.D., LLC Dba Evolutionary Wellbeing

  • Clinical Psychologist
  • Marion, MA
National Provider Identifier
1205708252
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
VIVIAN A. SHELTON, PSY.D., LLC DBA EVOLUTIONARY WELLBEING
Practice address
9 Cottage St Rear
Marion, MA 02738-1530
Phone
(508) 287-4887
Fax
(571) 730-3689
NPI assigned
Sep 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Authorized official

Name
Dr. Vivian Allison Shelton, PSY.D.NPI 1487892014
Title
Licensed Clinical Psychologist
Phone
(703) 475-6478

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

9 Cottage St Rear
Marion, MA 02738-1530

Mailing address

PO Box 119
Marion, MA 02738-0002
Phone (508) 287-4887

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1758240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1205708252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 119",
            "city": "MARION",
            "state": "MA",
            "postal_code": "027380002",
            "telephone_number": "508-287-4887",
            "fax_number": "571-730-3689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 COTTAGE ST REAR",
            "city": "MARION",
            "state": "MA",
            "postal_code": "027381530",
            "telephone_number": "508-287-4887",
            "fax_number": "571-730-3689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIVIAN A. SHELTON, PSY.D., LLC DBA EVOLUTIONARY WELLBEING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-19",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "SHELTON",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_middle_name": "ALLISON",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "703-475-6478",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.

Verify at the official NPI Registry.