Active NPI
Sandra J. Shaheen, PH.D.
- Psychologist
- Boston, MA
National Provider Identifier
1669515847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 3741
- Practice address
- 319 Longwood Ave
Boston, MA 02115-5728 - Phone
- (617) 232-4858
- Fax
- (617) 232-4858
- NPI assigned
- Feb 15, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 3741 | MA | |
| Psychologist | 103T00000X | 3741 | MA | Primary |
| Health Service Psychologist | 103TH0100X | 3741 | MA |
Addresses
Primary practice location
319 Longwood Ave
Boston, MA 02115-5728
Mailing address
319 Longwood Ave
Boston, MA 02115-5728
Phone (617) 232-4858
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010801 | Other | MA | HARVARD PILGRIM HEALTH |
| 730672 | Other | MA | TUFTS HEALTH PLAN |
| WO3780 | Other | MA | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Jun 8, 2021 through Jun 8, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1669515847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "319 LONGWOOD AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155728",
"telephone_number": "617-232-4858",
"fax_number": "617-232-4858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 LONGWOOD AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "021155728",
"telephone_number": "617-232-4858",
"fax_number": "617-232-4858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAHEEN",
"first_name": "SANDRA",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "MA",
"license": "3741",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MA",
"license": "3741",
"primary": true
},
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "MA",
"license": "3741",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTH",
"identifier": "010801",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "730672",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "WO3780",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.