Shadi Zaghloul, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

227579 Issued in MA

Practice address

42 Wright St
Palmer, MA 01069-1156

Phone

(413) 370-5285

Fax

(413) 370-5384

NPI assigned

Aug 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Holyoke Medical Center IncGroup PAC ID 2163419383, shared by 3 NPIs, 202 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Holyoke Medical Center Hospital, Holyoke, MA, CCN 220024

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Baystate Medical Practices, Inc

  • Emergency Medical Services (Emergency Medicine) Physician
  • Springfield, MA
  • NPI 1548205909

  Psychiatry

  Medicare reassignment NPD
• Cooley Dickinson Hospital Inc

  • General Acute Care Hospital
  • Northampton, MA
  • NPI 1477596310
  Medicare reassignment NPD
• Holyoke Medical Center, Inc.

  • Psychiatric Hospital Unit
  • Holyoke, MA
  • NPI 1083776140
  Medicare reassignment NPD
• Holyoke Medical Center, Inc.

  • General Acute Care Hospital
  • Holyoke, MA
  • NPI 1750395737
  Medicare reassignment NPD
• Western Mass Physician Associates Inc

  • Obstetrics & Gynecology Physician
  • Chicopee, MA
  • NPI 1922009547
  Medicare reassignment NPD
• Drzpsychiatry LLC

  • Psychiatry Physician
  • Northampton, MA
  • NPI 1194446047
  NPD Authorized official
• Cooley Dickinson Hospital Inc

  • Psychiatric Hospital Unit
  • Northampton, MA
  • NPI 1871512814
  NPD
• Cooley Dickinson Hospital Inc

  • Urgent Care Clinic/Center
  • Southampton, MA
  • NPI 1932669272
  NPD
• Hampshire Pathologists, Inc.

  • Anatomic Pathology & Clinical Pathology Physician
  • Northampton, MA
  • NPI 1750326161
  NPD
• Western Mass Physician Associates Inc

  • Internal Medicine Physician
  • Chicopee, MA
  • NPI 1205315793
  NPD
• Western Mass Physician Associates Inc

  • Internal Medicine Physician
  • Westfield, MA
  • NPI 1366087363
  NPD
• Mount Auburn Hospital

  • Psychiatric Hospital Unit
  • Cambridge, MA
  • NPI 1649254491
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Holyoke Medical Center, Inc.

  • General Acute Care Hospital
  • Holyoke, MA
  • NPI 1750395737
  Care Compare affiliation

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547769600000",
    "number": "1336157007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 CHESTNUT ST",
            "address_2": "2ND FL",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011991001",
            "telephone_number": "413-794-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 WRIGHT ST",
            "city": "PALMER",
            "state": "MA",
            "postal_code": "010691156",
            "telephone_number": "413-370-5285",
            "fax_number": "413-370-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAGHLOUL",
        "first_name": "SHADI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2019-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "227579",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "MA",
            "license": "227579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Wolf, OD
• Donna L Wood Sholberg, MSN RN CS
• Helen Wood
• Shalina Wray, RN, MSN INTERN
• Rama Krishna Reddy Yarasani, M.D., M.P.H
• Warren B Zepp III, DC
• Gina M Zichittella, NP
• Zachry Peter Zichittella, M.D.
• Elizabeth M Zulkiewicz, LICSW

• Child & Adolescent Psychiatry Physician in Palmer, MA
• Providers in Palmer, MA by specialty
• Child & Adolescent Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.