Shayegani

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

117716 Issued in MA

Legal business name

SHAYEGANI

Practice address

41 Lila Rd
Jamaica Plain, MA 02130-3411

Phone

(617) 820-8785

NPI assigned

Dec 6, 2013

Last updated

Dec 6, 2013By 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

Susan Shayegani

Title

Owner

Phone

(857) 203-0409

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386288000000",
    "number": "1699106369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 LILA RD",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303411",
            "telephone_number": "617-820-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 LILA RD",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303411",
            "telephone_number": "617-820-8785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAYEGANI",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-06",
        "last_updated": "2013-12-06",
        "status": "A",
        "authorized_official_last_name": "SHAYEGANI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "857-203-0409"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "117716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam Beth Shabazz, LICSW
• Jodi Alyse Shapanka, MS, CCC-SLP
• Miriam Shapiro, MSW
• Nandini Sharma, DMD
• Christopher Joseph Shaw, NP
• Matthew Edward Sheehan
• Beth Sherman, M.A
• Kenneth Lyle Sherman, LICSW
• Hyun Joon Shin, MD,SCD,MS,MPH
• Sara Shine

• Clinical Social Worker in Jamaica Plain, MA
• Providers in Jamaica Plain, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; 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.