SHAWN CHANNELL (NPI# 1184112948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184112948 |
| Entity Type | Individual |
| Full Name | SHAWN CHANNELL |
| Credential | PH.D. |
| Practice Address |
76 Summer St Ste 115 Fitchburg MA 01420-5705 |
| Mailing Address |
144 Main St Westminster MA 01473-1542 |
| Practice Telephone | 9782574958 |
| Mailing Telephone | 9782574958 |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2018-04-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
18566 | CA | Behavioral Health & Social Service Providers |
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
9403 | MA | Behavioral Health & Social Service Providers |
| Street Address |
76 SUMMER ST STE 115 |
| City | FITCHBURG |
| State | MA |
| Zip Code | 01420-5705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811507577 | Water Bear Counseling, LLC | Counselor | 76 Summer St Ste 115, Fitchburg, MA 01420-5705 | 2020-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063039121 | Maria A Neizvestnaya | Student in an Organized Health Care Education/Training Program | Primary Care Behavioral Health, Fitchburg Family Medicine, Fitchburg, MA 01420 | 2020-07-06 |
| 1780177014 | Chenell B Morris | Developmental Therapist | 161 Summer St, Fitchburg, MA 01420 | 2018-06-12 |
| 1831699578 | Karen Kazanjian-silvia | Social Worker | 275 Nichols Rd., Healthalliance Hospital Cancer Center, Fitchburg, MA 01420 | 2018-02-20 |
| 1932615499 | Simply Orthodontics and Pediatrics Fitchburg Pllc | Dentist | 50 Whalon St Ste 1, Fitchburg, MA 01420 | 2017-12-20 |
| 1811410517 | Roger Nichele | Dentist | 326 Nichols St, Fitchburg, MA 01420 | 2017-07-25 |
| 1659893220 | Fresh Start Home Care LLC | Home Health | 293 Arnhow Farm Road, Fitchburg, MA 01420 | 2017-07-14 |
| 1154864668 | Kimatra Maxwell | Social Worker | 344 Main St Ste 9, Fitchburg, MA 01420 | 2016-12-01 |
| 1740635283 | Henry Ntoro Sr. | Nurse Practitioner | 33 Electric Ave B3, Fitchburg, MA 01420 | 2016-05-03 |
| 1740643345 | Mary Wooten | Counselor | 143 Highland Ave Apt 1, Fitchburg, MA 01420 | 2016-03-31 |
| 1013393206 | Brooke Chamberland, Licsw | Social Worker | 982b South St, Fitchburg, MA 01420 | 2015-08-11 |
| Find all providers in zip 01420 | ||||
| Taxonomy Code | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891083051 | Nicole Hart | Psychologist | 545 Westminster St, Fitchburg, MA 01420-4727 | 2011-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346863172 | Zoe Ray | Psychologist | 24 New Chardon St Ste 200, Boston, MA 02114-4703 | 2020-05-27 |
| 1043831118 | Carol G Feldman | Psychologist | 23 Rutland Sq, Boston, MA 02118-3105 | 2020-04-30 |
| 1326533654 | Susan E Flood | Psychologist | 25 Whittier St, Cambridge, MA 02140-2611 | 2018-06-28 |
| 1649762832 | Katrina H Colistra | Psychologist | 45 Williams St, Marlborough, MA 01752-6054 | 2018-06-04 |
| 1447741988 | Robert A Fein | Psychologist | 1770 Massachusetts Ave Ste 197, Cambridge, MA 02140-2808 | 2018-05-21 |
| 1063902740 | Carla Alexandra Lourenco | Psychologist | 52 Obery St, Plymouth, MA 02360-2199 | 2018-05-17 |
| 1821588617 | Jonathan Parad | Psychologist | 4 The Lope, Haydenville, MA 01039-9726 | 2018-05-16 |
| 1902396864 | Priscilla Hoffnung | Psychologist | 29 Ashcroft St, Jamaica Plain, MA 02130-4325 | 2018-05-16 |
| 1093205502 | Barbara Quinones | Psychologist | 39 Mount Hope St, Norwell, MA 02061-1017 | 2018-05-10 |
| 1942790472 | Hilary Novak | Psychologist | 2200 Cranberry Hwy, West Wareham, MA 02576-1219 | 2018-05-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.