Shelby N Poirier

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

113 Salem Turnpike
Unite 200
Norwich, CT 06360

Phone

(888) 754-0398

NPI assigned

Oct 27, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666828800000",
    "number": "1750008090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 QUEEN ELEANOR DR",
            "city": "GALES FERRY",
            "state": "CT",
            "postal_code": "063351315",
            "telephone_number": "860-389-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 SALEM TURNPIKE",
            "address_2": "UNITE 200",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "06360",
            "telephone_number": "888-754-0398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POIRIER",
        "first_name": "SHELBY",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "s.poirier@inbloomautism.com",
            "affiliation": "N",
            "address_1": "113 Salem Turnpike",
            "address_2": "Unite 200",
            "city": "Norwich",
            "state": "CT",
            "country_code": "US",
            "postal_code": "06360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lorraine L Plante, LCSW
• Suzanne J. Plante, PT
• Devon Pleau, LADC
• Bryce Ploughman, CRNA
• Rebecca Plover
• Wendy Helen Poplett, CD(DONA)
• Andrzej P Porebski, MD
• Kevin John Portal, PMHNP-BC
• Nicolas Potter
• Diane Marie Powell, PH. D.

• Behavior Technician in Norwich, CT
• Providers in Norwich, CT by specialty
• Behavior Technician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; 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.