Active NPI
Paul Bryan Shagoury, PHD
- Psychologist
- Concord, NH
National Provider Identifier
1699737940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 150
- Practice address
- 36 Clinton St
D Unit
Concord, NH 03301-2359 - Phone
- (603) 271-5487
- NPI assigned
- Apr 3, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 150 | NH | Primary |
Addresses
Primary practice location
36 Clinton St
D Unit
Concord, NH 03301-2359
Mailing address
4 Sharon Dr
Bow, NH 03304-4324
Phone (603) 228-8232
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 99007747 | Medicaid | NH |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150 | NH | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233187200000",
"number": "1699737940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 SHARON DR",
"city": "BOW",
"state": "NH",
"postal_code": "033044324",
"telephone_number": "603-228-8232",
"fax_number": "603-668-8666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 CLINTON ST",
"address_2": "D UNIT",
"city": "CONCORD",
"state": "NH",
"postal_code": "033012359",
"telephone_number": "603-271-5487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAGOURY",
"first_name": "PAUL",
"middle_name": "BRYAN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-03",
"last_updated": "2009-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NH",
"license": "150",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "99007747",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Concord, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.