Individual provider Active NPI

Shannon Leah Devlin, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Holyoke, MA
National Provider Identifier
1588096754
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2284831 Issued in MA
Practice address
303 Beech St
Holyoke, MA 01040-3968
Phone
(413) 540-1234
NPI assigned
Jul 30, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2284831 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2284831 MA Primary

Addresses

Primary practice location

303 Beech St
Holyoke, MA 01040-3968

Mailing address

354 Waverley St
Framingham, MA 01702-7079
Phone (508) 460-3190

Other practice location 1

24 Newton St
Southborough, MA 01772-1215
Phone (508) 460-3190

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150813011452 MA Practitioner - Nurse Practitioner 2860707254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
River Valley Counseling Center IncGroup PAC ID 4981694999, 57 clinicians

Practice addresses (Care Compare)

303 Beech St
Holyoke, MA 01040-3968
Phone (413) 540-1199

Hospital & facility affiliations

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2284831MAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
River Valley Counseling Center, Inc CurrentSince Apr 16, 2021 Accepting new patients
River Valley Counseling Center, Inc PastSince Mar 12, 2024 Accepting new patients

Locations

303 Beech St
Holyoke, MA 01040
Phone (413) 540-1155

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/rvccinc/r4/

Organizations & group practices 2

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1588096754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 WAVERLEY ST",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017027079",
            "telephone_number": "508-460-3190",
            "fax_number": "508-460-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 BEECH ST",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010403968",
            "telephone_number": "413-540-1234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Newton St",
            "address_purpose": "LOCATION",
            "city": "Southborough",
            "state": "MA",
            "postal_code": "017721215",
            "country_code": "US",
            "telephone_number": "508-460-3190",
            "fax_number": "508-460-3279",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVLIN",
        "first_name": "SHANNON",
        "middle_name": "LEAH",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-30",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2284831",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2284831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holyoke, MA

Sources for this page

Verify at the official NPI Registry.