Shoreline Center for Social Learning, LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SHORELINE CENTER FOR SOCIAL LEARNING, LLC

Practice address

377 Main St
West Haven, CT 06516-4311

Phone

(203) 693-4533

NPI assigned

May 2, 2017

Organization subpart

No

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

Authorized official

Name

Harry Voulgarakis, PHD

Title

Director

Phone

(203) 693-4533

Specialties & licenses 5

Addresses

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

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1306372081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 MAIN ST",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065164311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 MAIN ST",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065164311",
            "telephone_number": "203-693-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE CENTER FOR SOCIAL LEARNING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-02",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "VOULGARAKIS",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "203-693-4533",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neysa Vivienne Shen, M.D
• Virginia Louise Sherrick, APRN, FNP-BC
• Barbara Shola
• Stephanie Shongut
• Christine Shore, MS
• Shoreline Family Chiropractic & Wellness
• Shoreline Social Learning
• Shoreline Wellness Behavioral Health Clinic, LLC
• Shoreline Wellness Behavioral Health Outreach Inc
• Shoreline Wellness Center, LLC.

• Behavior Analyst in West Haven, CT
• Providers in West Haven, CT by specialty
• Behavior Analyst in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; 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.