MR. CHRISTOPHER JOSEPH SHAW (NPI# 1316080195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316080195 |
| Entity Type | Individual |
| Full Name | MR. CHRISTOPHER JOSEPH SHAW |
| Credential | NP |
| Practice Address |
17 Prince Street Unit 2 Jamaica Plain MA 02130 |
| Mailing Address |
17 Prince St Unit 2 Jamaica Plain MA 02130-2725 |
| Practice Telephone | 8579286195 |
| Mailing Telephone | 8579286195 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2012-09-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 276400000X | Rehabilitation, Substance Use Disorder Unit | Hospital Units | ||
| N | 282N00000X | General Acute Care Hospital | 205807 | MA | Hospitals |
| N | 363L00000X | Nurse Practitioner | 205807 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
205807 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| RI | 1316080195 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952957508 | Christopher M Shaw | Dietitian, Registered | 222 Liberty Ave, Westbury, NY 11590-2134 | 2019-08-09 |
| 1730610338 | Christopher Robin Shaw | Student in an Organized Health Care Education/Training Program | 234 Goodman St, Center for Emergency Care, Cincinnati, OH 45219-2364 | 2017-03-24 |
| 1124443619 | Christopher J Shaw | Counselor | 2990 N Sioux Ave, Claremore, OK 74017-3700 | 2014-02-20 |
| 1982045696 | Christopher Thomas Shaw | Optometrist | 200 S Main St, Du Bois, PA 15801-1578 | 2013-07-10 |
| 1588935795 | Christopher G Shaw | Nurse Anesthetist, Certified Registered | 100 E Liberty St, Suite 800, Louisville, KY 40202-1434 | 2012-01-19 |
| 1306127006 | Christopher Leigh Shaw | Physical Therapist | 321 N Chambers St, Port Angeles, WA 98362-3919 | 2011-09-08 |
| 1164715330 | Christopher C Shaw | Emergency Medicine | 800 Rose Street, Lexington, KY 40505-0298 | 2011-05-22 |
| 1124341508 | Christopher Scott Shaw | Social Worker | 2525 Wallingwood Dr, Bldg 1 Ste 213, Austin, TX 78746-6900 | 2010-03-12 |
| 1407179690 | Christopher Joel Shaw | Physician Assistant | 11800 Ne 128th St, Suite 300, Kirkland, WA 98034-7208 | 2010-03-02 |
| 1497917991 | Christopher Michael Shaw | Orthopaedic Surgery | 2301 Holmes St, Kansas City, MO 64108-2640 | 2008-06-26 |
| Street Address |
17 PRINCE STREET UNIT 2 |
| City | JAMAICA PLAIN |
| State | MA |
| Zip Code | 02130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913121 | Virginia Dawn Pratt | Social Worker | Ethos, 555 Amory Street, Jamaica Plain, MA 02130 | 2020-08-19 |
| 1689139917 | Lina Skiba | Speech-Language Pathologist | Thom Child & Family Services, 555 Armory St, Jamaica Plain, MA 02130 | 2019-01-31 |
| 1841775442 | Melissa Rocklen | Social Worker | 30 Germania St Bldg C, Jamaica Plain, MA 02130 | 2018-09-28 |
| 1902389281 | Susan N. Berkman | Social Worker | 111 Perkins St., Apt.120, Jamaica Plain, MA 02130 | 2018-09-12 |
| 1326551912 | Cindy Tromp | Counselor | Arbour Hospital, 49 Robinwood Ave, Jamaica Plain, MA 02130 | 2017-11-06 |
| 1811415128 | Jesse Myles Carmen | Social Worker | 555 Armory Street, Jamaica Plain, MA 02130 | 2017-09-07 |
| 1881119410 | Melanie Suzanne Witman | Counselor | 1125 Centre Street, Boston, MA 02130 | 2017-08-04 |
| 1740702125 | Farah Clermont | Counselor | 3815 Washington St., Jamaica Plain, MA 02130 | 2017-07-07 |
| 1346777554 | Anjalie L Pieres | Counselor | 157 Green Streey, Jamaica Plain, MA 02130 | 2017-05-18 |
| 1316480098 | Caroline Amina Shaw-moss | Counselor | 7 Burr St., Boston, MA 02130 | 2016-11-29 |
| Find all providers in zip 02130 | ||||
| Taxonomy Code | 276400000X |
| Grouping | Hospital Units |
| Classification | Rehabilitation, Substance Use Disorder Unit |
| A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.) |
| Notes: Source: Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104469592 | Living In Freedom Together Lift Inc | Rehabilitation, Substance Use Disorder Unit | 40 Mendon St, Worcester, MA 01604-4824 | 2019-10-18 |
| 1336688415 | High Point Treatment Center | Rehabilitation, Substance Use Disorder Unit | 10 Meadowbrook Rd, Brockton, MA 02301-7122 | 2017-02-22 |
| 1649658741 | Pine Street Inn | Rehabilitation, Substance Use Disorder Unit | 170 Morton St, Boston, MA 02130-3735 | 2015-05-11 |
| 1912216375 | Steward St. Elizabeth's Medical Center of Boston, Inc. | Rehabilitation, Substance Use Disorder Unit | 736 Cambridge St, Boston, MA 02135-2907 | 2010-10-04 |
| 1316165517 | St Annes Hospital | Rehabilitation, Substance Use Disorder Unit | 795 Middle St, Fall River, MA 02721-1733 | 2007-04-23 |
| 1154489615 | Caritas Good Samaritan Medical Center | Rehabilitation, Substance Use Disorder Unit | 71 Walnut St, Foxboro, MA 02035-2533 | 2006-12-05 |
| City | JAMAICA PLAIN |
| Zip Code | 02130 |
Please comment or provide details below to improve the information on MR. CHRISTOPHER JOSEPH SHAW.
| 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.