CAROLYN J. SMITH,PH.D. (NPI# 1285758102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285758102 |
| Entity Type | Organization |
| Organization Name | CAROLYN J. SMITH,PH.D. |
| Other Organization Name | EASTERN SHORE ASSOCIATES |
| Practice Address |
586 Main St Shrewsbury MA 01545-2920 |
| Mailing Address |
Po Box 4133 Turnpike Station Shrewsbury MA 01545-7133 |
| Practice Telephone | 5088423100 |
| Practice Fax Number | 5088420700 |
| Mailing Telephone | 5088423100 |
| Mailing Fax Number | 5088420700 |
| Enumeration Date | 2007-03-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. CAROLYN J. SMITH (DIRECTOR) |
| Authorized Official Telephone | 5088423100 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TC0700X |
Psychologist Specialization: Clinical |
3173 | MA | Behavioral Health & Social Service Providers |
| X | 103TC1900X |
Psychologist Specialization: Counseling |
2082 | MA | Behavioral Health & Social Service Providers |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
105304 | MA | Behavioral Health & Social Service Providers |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
1016226 | MA | Behavioral Health & Social Service Providers |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
1022130 | MA | Behavioral Health & Social Service Providers |
| X | 1041C0700X |
Social Worker Specialization: Clinical |
1027114 | MA | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Eastern Shore Associates | Doing Business As Name - Organization |
| Street Address |
586 MAIN ST |
| City | SHREWSBURY |
| State | MA |
| Zip Code | 01545-2920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558332536 | Sarah Cole Camerer | Counselor | 586 Main St, 1st Floor, Shrewsbury, MA 01545-2920 | 2006-01-30 |
| 1457746638 | Manda Driscoll | Social Worker | 586 Main St, Shrewsbury, MA 01545-2920 | 2015-04-03 |
| 1023403383 | Laura Jean Powell | Social Worker | 586 Main St, Shrewsbury, MA 01545-2920 | 2015-04-03 |
| 1881977361 | Shrewsbury Counseling Center, LLC | Counselor | 586 Main St, Shrewsbury, MA 01545-2920 | 2011-09-21 |
| 1255513347 | Jamie Lynne Stacy | Social Worker | 586 Main St, Shrewsbury, MA 01545-2920 | 2007-11-29 |
| 1013135573 | Renee E. Klein | Social Worker | 586 Main St, Shrewsbury, MA 01545-2920 | 2007-04-23 |
| 1669595740 | Allan Wyatt | Psychologist | 586 Main St, Shrewsbury, MA 01545-2920 | 2007-04-06 |
| 1811030703 | Denise M. Lavallee | Counselor | 586 Main St, Shrewsbury, MA 01545-2920 | 2007-02-14 |
| 1467598656 | Carolyn J. Smith | Psychologist | 586 Main St, Shrewsbury, MA 01545-2920 | 2007-01-29 |
| 1437205077 | Susan H. Thurston | Social Worker | 586 Main St, Shrewsbury, MA 01545-2920 | 2007-01-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790252716 | Kerri Mccarty | Pharmacist | 539-571 Boston Turnpike, Shrewsbury, MA 01545 | 2018-10-29 |
| 1710469127 | Emily Graves | Speech-Language Pathologist | 15 Fox Hill Road, Shrewsbury, MA 01545 | 2018-08-31 |
| 1558847780 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 720 Boston Tpke, Shrewsbury, MA 01545 | 2018-07-11 |
| 1023547718 | Anya Wolfe | Dentist | 193 Boston Tpke, Shrewsbury, MA 01545 | 2017-06-07 |
| 1992110506 | Careplus Transports LLC | Private Vehicle | 719 Grafton Street, Shrewsbury, MA 01545 | 2014-06-23 |
| 1699106328 | Marcienne Tallis Richardson | Registered Nurse | 415 Boston Turnpike, Shrewsbury, MA 01545 | 2013-12-05 |
| 1043555873 | Magdalena Barbara Farrell | Community Health Worker | 215 Lake St, Shrewsbury, MA 01545 | 2012-12-05 |
| 1639454507 | Amy Folta | Pharmacist | 225 Boston Trpk Road, Walgreens, Shrewsbury, MA 01545 | 2011-10-11 |
| 1205117710 | Shrewsbury Dental | Home Health | 16a Harrington Ave., Shrewsbury, MA 01545 | 2011-08-30 |
| 1639401334 | Shawn Fuller | Dentist | 193 Boston Tpke Ste 6140, Shrewsbury, MA 01545 | 2010-02-04 |
| Find all providers in zip 01545 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700379971 | Karen Place Carlson | Psychologist | 269 Walnut St, Shrewsbury, MA 01545-3319 | 2018-06-12 |
| 1356830277 | Yvonne Adair Sparling | Psychologist | 49 Hunting Ave, Shrewsbury, MA 01545-3171 | 2018-05-07 |
| 1083883326 | Mindy S Sefton | Psychologist | 211 Cherry St, Shrewsbury, MA 01545-4006 | 2008-02-20 |
| 1932247459 | Judith Lorraine Krusell | Psychologist | 322 Sycamore Avenue, Shrewsbury, NJ 07702 | 2007-02-05 |
| 1366595340 | James Edward Dowding | Psychologist | 6 Wiltshire Dr, Shrewsbury, MA 01545-5306 | 2007-01-21 |
| 1508925421 | David Allen Riley | Psychologist | 59 Ave At The Common Suite 206, Crossroads Psychological Associates, Shrewsbury, NJ 07702 | 2006-12-06 |
| 1396842928 | Jeffrey Michael Newenhouse | Psychologist | 59 Avenue of The Cmn, Suite 206, Shrewsbury, NJ 07702-4806 | 2006-09-17 |
| 1811939473 | Centers for Aging and Memory | Psychologist | 431 Lake St, Shrewsbury, MA 01545-3972 | 2006-06-11 |
| 1912950262 | Elaine Mary Sweeney | Psychologist | 298 Boston Tpke, Suite 10, Shrewsbury, MA 01545-3871 | 2006-05-18 |
| 1093780249 | Richard Scott Zakreski | Psychologist | 40 Avenue At The Cmn, Suite 203, Shrewsbury, NJ 07702-4800 | 2006-02-21 |
| Find all providers in SHREWSBURY | ||||
| City | SHREWSBURY |
| Zip Code | 01545 |
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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.