Paige Malerman Shaw, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

9730 Issued in MA

Practice address

632 Blue Hill Ave
Dorchester, MA 02121-3213

Phone

(617) 825-3400

NPI assigned

Apr 15, 2009

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

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Harvard Street Neighborhood Health Center

  • Primary Care Clinic/Center
  • Dorchester, MA
  • NPI 1750789277
  NPD
• Harvard Street Neighborhood Health Center Inc

  dba Harvard Street Neighborhood Health Center

  • Clinic/Center
  • Dorchester, MA
  • NPI 1902954449
  NPD

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

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1487897765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 BLUE HILL AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021213213",
            "telephone_number": "617-825-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 BLUE HILL AVE",
            "city": "DORCHESTER",
            "state": "MA",
            "postal_code": "021213213",
            "telephone_number": "617-825-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "PAIGE",
        "middle_name": "MALERMAN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-15",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "9730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyung Won Seo, D.M.D
• Sarah E Serrano
• Valeria Serrano
• Rose Severe, CPN
• Joni Shaw
• Shaws Supermarkets Inc (Shaws Pharmacy #4587)
• Kathleen Sheehan King, REGISTERED NURSE
• Alissa L Sheehan, PNP
• Muna S Sheikh, M.D.
• Donald Shepherd, MSW

• Clinical Psychologist in Dorchester, MA
• Providers in Dorchester, MA by specialty
• Clinical Psychologist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.