Shannon Paula Wellness

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

SHANNON PAULA WELLNESS

Doing business as

Playlates

Practice address

28 Riverside Ave Apt 9C
Red Bank, NJ 07701-1054

Phone

(917) 971-0000

NPI assigned

Mar 16, 2023

Last updated

Mar 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shannon Williams

Title

Owner

Phone

(917) 971-0000

Specialties & licenses 1

Addresses

Other names 2

• Playlates Doing business as
• SHannon Paula WELLness Former legal business name

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1629779590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 RIVERSIDE AVE APT 9C",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011054",
            "telephone_number": "917-971-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 RIVERSIDE AVE APT 9C",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011054",
            "telephone_number": "917-971-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON PAULA WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-971-0000"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Playlates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SHannon Paula WELLness",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Sarah L Severino, PSY.D.
• Ali Ahsen Shah, M.D.
• Pranav N Shah, MD
• Marisa Anne Shaheen
• Samar Shami, MD
• Shape to Success Behavioral Solutions
• Niti Sharma, D.O.
• Vikranta Sharma, MD
• Dana Shea, DPT
• Mallory Sheklian, LAC

• Behavior Analyst in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Behavior Analyst in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.