Active NPI
Victoria Anne Shea, M.D.
- Psychiatry Physician
- Quincy, MA
National Provider Identifier
1760415509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 53737
- Practice address
- 460 Quincy Ave
Inpatient Unit
Quincy, MA 02169-8130 - Phone
- (617) 626-9058
- NPI assigned
- Jul 7, 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 53737 | MA | Primary |
Addresses
Primary practice location
460 Quincy Ave
Inpatient Unit
Quincy, MA 02169-8130
Mailing address
PO Box 564
Milton, MA 02186-0007
Phone (617) 626-9058
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53737 | MA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Commonwealth of Massachusetts | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric Hospital
- Quincy, MA
- NPI 1407884059
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184630400000",
"number": "1760415509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 564",
"city": "MILTON",
"state": "MA",
"postal_code": "021860007",
"telephone_number": "617-626-9058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 QUINCY AVE",
"address_2": "INPATIENT UNIT",
"city": "QUINCY",
"state": "MA",
"postal_code": "021698130",
"telephone_number": "617-626-9058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEA",
"first_name": "VICTORIA",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2007-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MA",
"license": "53737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Quincy, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.