Shine Psychiatry

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SHINE PSYCHIATRY

Practice address

184 Pleasant Valley St Ste 2-203
Methuen, MA 01844-5853

Phone

(978) 902-3001

NPI assigned

Oct 13, 2020

Organization subpart

No

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

Authorized official

Name

Marion Taylor, NPNPI 1801126057

Title

Cmo

Phone

(978) 902-3001

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Marion V Taylor, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lawrence, MA
  • NPI 1801126057
  NPD Authorized official

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643328000000",
    "number": "1306444260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 PLEASANT VALLEY ST STE 2-203",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018445853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 PLEASANT VALLEY ST STE 2-203",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018445853",
            "telephone_number": "978-902-3001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-13",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-28",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "MARION",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "978-902-3001",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie E. Shean, M.D.
• Jaclyn Sheehan, DMD
• Keara Sheehan
• Umair Sheikh, M.D.
• Nicole Sherwood
• Shreeji Dental PC
• Brooke Sicco
• Javed I Siddiqi, MD
• Cynthia Esther Sierra, RN
• Allison Lily Silva, MSN, RN

• Psychiatric/Mental Health Nurse Practitioner in Methuen, MA
• Providers in Methuen, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.