Active NPI
Shana Ann McTague, CAGS
- School Psychologist
- Fremont, NH
National Provider Identifier
1699358689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 67047
- Practice address
- 432 Main St
Fremont, NH 03044-3416 - Phone
- (603) 895-2511
- NPI assigned
- Apr 28, 2021
- Last updated
- Oct 6, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 67047 | NH | Primary |
Addresses
Primary practice location
432 Main St
Fremont, NH 03044-3416
Mailing address
432 Main St
Fremont, NH 03044-3416
Phone (603) 895-2511
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 67047 | Medicaid | NH |
Other names 1
- Shana Ann Healey
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67047 | NH | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791244800000",
"number": "1699358689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "432 MAIN ST",
"city": "FREMONT",
"state": "NH",
"postal_code": "030443416",
"telephone_number": "603-895-2511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "432 MAIN ST",
"city": "FREMONT",
"state": "NH",
"postal_code": "030443416",
"telephone_number": "603-895-2511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCTAGUE",
"first_name": "SHANA",
"middle_name": "ANN",
"credential": "CAGS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-04-28",
"last_updated": "2026-10-06",
"certification_date": "2026-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "NH",
"license": "67047",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "67047",
"state": "NH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SHANA",
"last_name": "HEALEY",
"middle_name": "ANN",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Fremont, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.