Active NPI
Shaina Doberman
- Counselor
- Gloucester, MA
National Provider Identifier
1356973713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 3 Blackburn Ctr
Gloucester, MA 01930-2268 - Phone
- (978) 283-7198
- NPI assigned
- Feb 4, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
3 Blackburn Ctr
Gloucester, MA 01930-2268
Mailing address
8 Brierwood St
Gloucester, MA 01930-1223
Phone (978) 290-0710
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Justice Resource Institute, Inc. | Current | Accepting new patients |
Locations
3 Blackburn Ctr
Gloucester, MA 01930
Phone (978) 264-3500
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Salem, MA
- NPI 1093787095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580774400000",
"number": "1356973713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 BRIERWOOD ST",
"city": "GLOUCESTER",
"state": "MA",
"postal_code": "019301223",
"telephone_number": "978-290-0710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 BLACKBURN CTR",
"city": "GLOUCESTER",
"state": "MA",
"postal_code": "019302268",
"telephone_number": "978-283-7198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOBERMAN",
"first_name": "SHAINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-04",
"last_updated": "2020-02-04",
"certification_date": "2020-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gloucester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.