DR. SHANNON R. PICKETT (NPI# 1245886456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245886456 |
| Entity Type | Individual |
| Full Name | DR. SHANNON R. PICKETT |
| Credential | PSY.D. |
| Practice Address |
1269 Beacon St Brookline MA 02446-5248 |
| Practice Telephone | 6172321303 |
| Practice Fax Number | 6172321280 |
| Mailing Telephone | 6172321303 |
| Mailing Fax Number | 6172321280 |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2019-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427369198 | Shannon Maria Pickett | Dental Hygienist | 318 S Jefferson St, Macon, MS 39341-2716 | 2010-06-28 |
| 1083847438 | Shannon Dianne Pickett | Counselor | 11 Central Sq, Bridgewater, MA 02324-2548 | 2009-09-02 |
| Street Address |
1269 BEACON ST |
| City | BROOKLINE |
| State | MA |
| Zip Code | 02446-5248 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043208119 | Saechin Kim | Orthopaedic Surgery | 1269 Beacon St, Brookline, MA 02446-5245 | 2005-10-12 |
| 1376183418 | Elise Marraro | Social Worker | 1269 Beacon St, Brookline, MA 02446-5248 | 2020-01-07 |
| 1306492970 | Christina Zawalski | Psychologist | 1269 Beacon St, Brookline, MA 02446-5248 | 2019-08-09 |
| 1912422551 | Denise Kyte | Counselor | 1269 Beacon St, Brookline, MA 02446-5248 | 2017-08-04 |
| 1790200384 | Regina Marie Musicaro | Student in an Organized Health Care Education/Training Program | 1269 Beacon St, Brookline, MA 02446-5248 | 2017-08-04 |
| 1184148116 | Dominique Alexis Malebranche | Psychologist | 1269 Beacon St, Brookline, MA 02446-5248 | 2017-08-01 |
| 1619490455 | Beth Anne Waterman | Student in an Organized Health Care Education/Training Program | 1269 Beacon St, Brookline, MA 02446-5248 | 2017-07-24 |
| 1730602095 | Mariah Rooney O'brien | Counselor | 1269 Beacon St, Brookline, MA 02446-5248 | 2017-07-19 |
| 1407300932 | Noel Hunter | Counselor | 1269 Beacon St, Brookline, MA 02446-5248 | 2016-08-13 |
| 1558815407 | Insight Brookline Psychotherapy | Psychologist | 1269 Beacon St, Floor 3, Brookline, MA 02446-5248 | 2016-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588218127 | Mohammad Ali Zafar | Social Worker | 11 Stearns Rd Apartment#1, Brookline, MA 02446 | 2019-08-01 |
| 1730659368 | Boston Family Therapy & Wellness Pllc | Clinic/Center | 1330 Beacon Street Suite 263, Brookline, MA 02446 | 2018-11-27 |
| 1518442078 | Elizabeth Dorsey | Social Worker | Boston Graduate School of Psychoanalysis, 1581 Beacon Street, Brookline, MA 02446 | 2018-10-01 |
| 1467936732 | Helen Elizabeth Weiner | Social Worker | 6 Churchill Sstreet, Brookline, MA 02446 | 2018-09-21 |
| 1285116640 | Dawn Higgins | Social Worker | 227 Summit Avenue W304, Brookline, MA 02446 | 2018-09-03 |
| 1528540978 | Shana Joan Turowitz | Social Worker | 156 Lawton Street, Brookline, MA 02446 | 2018-09-02 |
| 1528563996 | Lauren H Shin | Pediatrics | 150 Pleasant St Unit 309, Brookline, MA 02446 | 2018-03-28 |
| 1821512872 | Ilana Lindsay Cooper | Psychologist | 1093 Beacon St Ste 401, Brookline, MA 02446 | 2017-08-01 |
| 1538683735 | Elizabeth Apkin | Psychologist | 1330 Beacon Street Suite 201, Brookline, MA 02446 | 2017-07-29 |
| 1366963258 | Maria Antonietta Mazzola | Psychiatry & Neurology | 57 Manchester Rd, Brookline, MA 02446 | 2017-06-29 |
| Find all providers in zip 02446 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093212615 | Julie Gold | Psychologist | 247 Tappan St, Brookline, MA 02445-5308 | 2018-04-10 |
| 1306492970 | Christina Zawalski | Psychologist | 1269 Beacon St, Brookline, MA 02446-5248 | 2019-08-09 |
| 1972930527 | Crystal O'neal Mims | Psychologist | 43 Garrison Rd, Brookline, MA 02445-4445 | 2013-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730151 | Jennifer Beardslee | Psychologist | 116 Bridge St, Beverly, MA 01915-2851 | 2020-11-06 |
| 1114536554 | Jonathan Mari | Psychologist | 55 Cedar St Apt 2, Somerville, MA 02143-2289 | 2020-07-30 |
| 1275150807 | Tessa Lashley | Psychologist | 19 Meadow Pond Dr Apt K, Leominster, MA 01453-4252 | 2020-06-30 |
| 1003431644 | Christina Young | Psychologist | 340 Lowell St, Wakefield, MA 01880-1726 | 2020-06-09 |
| 1134743651 | Lin Tang | Psychologist | 60 Rolling Ridge Rd, Amherst, MA 01002-1419 | 2020-06-01 |
| 1356964985 | Lori Sawyer | Psychologist | 372 Olivia Dr, Northbridge, MA 01534-1292 | 2020-05-18 |
| 1114566957 | Kelly Giorgi | Psychologist | 1601b South St, Barre, MA 01005-8822 | 2019-12-26 |
| 1154968147 | Kimberly Trainor | Psychologist | 360 W Boylston St Rm 208, West Boylston, MA 01583-2384 | 2019-12-09 |
| 1154976264 | Jillian Goodrich | Psychologist | 629 Massachusetts Ave Ste 201, Boxborough, MA 01719-1528 | 2019-08-06 |
| 1801371307 | Alisa Pozner | Psychologist | 51 Hatch St, Marshfield, MA 02050-2449 | 2018-10-01 |
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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.