South Shore Psychiatric Services PC

Primary specialty

Child & Adolescent Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0807X

License

198161 Issued in MA

Legal business name

SOUTH SHORE PSYCHIATRIC SERVICES PC

Practice address

435 Furnace St
Marshfield, MA 02050-2328

Phone

(781) 837-8833

Fax

(781) 735-0457

NPI assigned

Dec 11, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Mary Ann McDonnell, PHD, RNCS, FPNP

Title

Owner/Clinician

Phone

(781) 837-8833

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418256000000",
    "number": "1588062244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 FURNACE ST",
            "city": "MARSHFIELD",
            "state": "MA",
            "postal_code": "020502328",
            "telephone_number": "781-837-8833",
            "fax_number": "781-735-0457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 FURNACE ST",
            "city": "MARSHFIELD",
            "state": "MA",
            "postal_code": "020502328",
            "telephone_number": "781-837-8833",
            "fax_number": "781-735-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE PSYCHIATRIC SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-11",
        "last_updated": "2014-12-11",
        "status": "A",
        "authorized_official_last_name": "MCDONNELL",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "781-837-8833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, RNCS, FPNP"
    },
    "taxonomies": [
        {
            "code": "364SP0807X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Adolescent",
            "state": "MA",
            "license": "198161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyson Elizabeth Skok, DSW, LICSW
• Maryellen Slayter, RN
• Linda Marie Slocum Vassallo, DMD
• Kimberly Smith, B.A.
• Sharon Marcia Smith, OTR
• Cait Southwood
• Elizabeth Ann Spaulding, LICSW MA 113010
• M. Estelle Spike, MS, LMHC
• Michael G Spiro, RPH
• St George Pharmacy Inc

• Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist in Marshfield, MA
• Providers in Marshfield, MA by specialty
• Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; 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.