Carol Shilliday, PSY.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

001880 Issued in CT

Practice address

1224 Farmington Ave
West Hartford, CT 06107-2618

Phone

(860) 561-1764

NPI assigned

Nov 8, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mandell & Blau, MD'S PC

  • Diagnostic Radiology Physician
  • South Windsor, CT
  • NPI 1811007545
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326118100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 FARMINGTON AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072618",
            "telephone_number": "860-561-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 FARMINGTON AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072618",
            "telephone_number": "860-561-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHILLIDAY",
        "first_name": "CAROL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "001880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cornelia F Sharrow, LCSW
• Shaws Supermarkets Inc
• Morgan Elizabeth Shehan, LICENSED OPTICIAN
• Carl Shields, LPC
• Saran Shields, LMSW
• Jamie Raye Shipman-Richters, LMSW
• Darian Nicole Shipman, MS, BCBA, LBA, LABA
• Diana Shnitman, PHARMD
• Jackie Kathleen Shute, PT
• Meghan Sickinger

• Mental Health Counselor in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.