MS. SHELLEY A CAVALLO (NPI# 1265085906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265085906 |
| Entity Type | Individual |
| Full Name | MS. SHELLEY A CAVALLO |
| Credential | PMHNP-BC |
| Practice Address |
235 Wellesley St Ste 1 Weston MA 02493-1571 |
| Mailing Address |
17 Holly Hill Ln Pembroke MA 02359-3117 |
| Practice Telephone | 6179095942 |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2020-01-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
235 WELLESLEY ST STE 1 |
| City | WESTON |
| State | MA |
| Zip Code | 02493-1571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841806148 | Murti Mistri | Family Medicine | 235 Wellesley St Ste 1, Weston, MA 02493-1571 | 2020-09-22 |
| 1558970301 | Amarachi J. Kalu | Registered Nurse | 235 Wellesley St Ste 1, Weston, MA 02493-1571 | 2020-07-28 |
| 1194342717 | Jill Ginisi | Registered Nurse | 235 Wellesley St Ste 1, Weston, MA 02493-1571 | 2020-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194290247 | Ann Fry | Social Worker | The Gifford School, 177 Boston Post Road, Weston, MA 02493 | 2018-10-04 |
| 1710467998 | Jill Suzanne Blaszkowsky | Social Worker | Campion Center, 319 Concord Road, Weston, MA 02493 | 2018-08-17 |
| 1336633353 | Kari Anne Wye | Counselor | 456 Wellesley St, Weston, MA 02493 | 2018-06-22 |
| 1780991257 | Kate F Tye | Internal Medicine | 56 Colpitts Road, Weston, MA 02493 | 2010-09-07 |
| 1245544840 | Edward C. Michaud, D.d.s. | Dentist | 512 Boston Post Road, Weston, MA 02493 | 2010-08-06 |
| 1346478815 | M. Susan Roberts | Psychologist | 269 Conant Road, Weston, MA 02493 | 2009-06-23 |
| 1205027307 | Mary R England | Psychiatry & Neurology | 235 Wellesley Street, Regis College, Weston, MA 02493 | 2007-08-05 |
| 1811030216 | Julie Lemaire Rein | Internal Medicine | Newton-wellesely Primary Care, 45 Colpitts Road, Weston, MA 02493 | 2007-02-15 |
| 1689743403 | Laura Ann Aiello | Psychologist | 20 Bullard Rd, Weston, MA 02493 | 2006-11-07 |
| 1649363292 | Brian Dewayne Lightsey | Social Worker | 104 Boston Post Rd, Suite #3, Weston, MA 02493 | 2006-10-02 |
| Find all providers in zip 02493 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689212854 | Rumman Ahmed Khalid | Student in an Organized Health Care Education/Training Program | 16129 Opal Creek Drive, Weston, FL 33331 | 2019-12-18 |
| 1508421439 | Sandra Ferraz Marimoto I | Student in an Organized Health Care Education/Training Program | 1403 Sabal Trl, Weston, FL 33327-1639 | 2019-05-06 |
| 1194388157 | Marissa Barrionuevo | Student in an Organized Health Care Education/Training Program | 1646 Island Way, Weston, FL 33326-3624 | 2019-04-16 |
| 1376004176 | Marc Schatz | Student in an Organized Health Care Education/Training Program | 498 Stonemont Dr, Weston, FL 33326-3500 | 2019-03-26 |
| 1316425994 | Hayim Gilshtein | Student in an Organized Health Care Education/Training Program | 3936 San Simeon Ln, Weston, FL 33331-5058 | 2018-08-05 |
| 1548746514 | Mhamad Faour | Student in an Organized Health Care Education/Training Program | 2950 Cleveland Clinic Blvd Fl 33331, Weston, FL 33331-3609 | 2018-07-12 |
| 1447747258 | Mario Ricardo Pimentel | Student in an Organized Health Care Education/Training Program | 2950 Cleveland Clinic Boulevard, Weston, FL 33331 | 2018-04-17 |
| 1780117515 | Justine Ekladios | Student in an Organized Health Care Education/Training Program | 19499 S Coquina Way, Weston, FL 33332-2423 | 2017-04-08 |
| 1144752551 | Therese Youssef Andraos | Student in an Organized Health Care Education/Training Program | 2950 Cleveland Clinic Blvd., Weston, FL 33331 | 2017-04-03 |
| 1700317492 | Ayaan Mercia Mckenzie | Student in an Organized Health Care Education/Training Program | 3527 Derby Ln, Weston, FL 33331-3512 | 2017-03-23 |
| Find all providers in WESTON | ||||
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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.