Active NPI
Shannon Theobald Devoe, PHD
- Clinical Psychologist
- Oxford, MA
National Provider Identifier
1700944204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2400
- Practice address
- 12 Old Charlton Rd
Oxford, MA 01540-1407 - Phone
- (508) 987-0256
- NPI assigned
- Dec 5, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 2400 | MA | Primary |
Addresses
Primary practice location
12 Old Charlton Rd
Oxford, MA 01540-1407
Mailing address
12 Old Charlton Rd
Oxford, MA 01540-1407
Phone (508) 987-0256
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11596600 | Other | MAGELLAN BEHAVIORAL HEALT | |
| 91531 | Other | CIGNA BEHAVIORAL HEALTH | |
| 1011430 | Other | BEACON HEALTH STRATEGIES | |
| EW03173 | Other | BLUE CROSS BLUE SHIELD | |
| 004155 | Other | VALUE OPTIONS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700944204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 OLD CHARLTON RD",
"city": "OXFORD",
"state": "MA",
"postal_code": "015401407",
"telephone_number": "508-987-0256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 OLD CHARLTON RD",
"city": "OXFORD",
"state": "MA",
"postal_code": "015401407",
"telephone_number": "508-987-0256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVOE",
"first_name": "SHANNON",
"middle_name": "THEOBALD",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MA",
"license": "2400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN BEHAVIORAL HEALT",
"identifier": "11596600",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "91531",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEACON HEALTH STRATEGIES",
"identifier": "1011430",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "EW03173",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "004155",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Oxford, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.