John E Shea, ED.D
Individual provider Active NPI Psychologist · Hampden, MA
NPI 1245366343 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1245366343
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 2236 (MA)
- Practice address
- 11 Erica Cir
Hampden, MA 01036-9652 - Phone
- (413) 626-3748
- Fax
- (413) 566-5829
- NPI assigned
- Feb 26, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2236 | MA | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2236 | MA | Yes |
Addresses
Primary practice location
11 Erica Cir
Hampden, MA 01036-9652
Mailing address
11 Erica Cir
Hampden, MA 01036-9652
Phone (413) 626-3748
Other providers in Hampden, MA
- Kathleen Page
- Denise Marie Pelletier
- Sabrina Raffaele
- Derek Robert Remy
- Benjamin Barry Seligman
- Tristan Silva
- Soft Place Therapy, PLLC
- SRC Hampden, Inc.
- Surgical Associates of Springfield Inc
- Daniella L. Thomas
All providers in Hampden, MA · Psychologist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.