SHOBHA CHETTY (NPI# 1538410972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538410972 |
| Entity Type | Individual |
| Full Name | SHOBHA CHETTY |
| Credential | ED.S. |
| Practice Address |
46 Federal St Brunswick ME 04011-2125 |
| Mailing Address |
3 Glover St Brunswick ME 04011-7407 |
| Practice Telephone | 2073191900 |
| Mailing Telephone | 2074062526 |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2012-09-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
37-$$$$$$$$$ | ME | Behavioral Health & Social Service Providers |
| Street Address |
46 FEDERAL ST |
| City | BRUNSWICK |
| State | ME |
| Zip Code | 04011-2125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831279389 | Charles O'rourke | Social Worker | 46 Federal St, Brunswick, ME 04011-2125 | 2006-10-17 |
| 1215239256 | Sarah Belanger | Speech-Language Pathologist | 46 Federal St, Brunswick, ME 04011-2125 | 2010-11-24 |
| 1407161243 | Martha Mckenna | Occupational Therapist | 46 Federal St, Brunswick, ME 04011-2125 | 2010-08-17 |
| 1578878013 | Joyce J Foley | Speech-Language Pathologist | 46 Federal St, Brunswick School Department, Brunswick, ME 04011-2125 | 2010-08-09 |
| 1548575020 | Jane Campbell | Specialist | 46 Federal St, Brunswick, ME 04011-2125 | 2010-08-09 |
| 1891919486 | Town of Brunswick School Dept. | Local Education Agency (LEA) | 46 Federal St, Brunswick, ME 04011-2125 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093276370 | Convenientmd LLC | Clinic/Center | 193 Bath Road, Brunswick, ME 04011 | 2019-03-28 |
| 1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
| 1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
| 1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
| 1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
| 1356764567 | Kid Function, Inc. | Clinic/Center | 225 Thomas Point Road, Brunswick, ME 04011 | 2014-01-23 |
| 1356788921 | Jacques M. Reynolds | Psychiatry & Neurology | 81 Medical Center Dr # 2400, Brunswick, ME 04011 | 2013-05-23 |
| 1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
| 1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
| 1841575339 | Bluesage Therapies Inc. | Social Worker | 214 Raymond Road, Brunswick, ME 04011 | 2011-10-15 |
| Find all providers in zip 04011 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689885881 | Alina Shumsky | Psychologist | 35 Collinsbrook Rd, Brunswick, ME 04011-8212 | 2007-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356980767 | William James Ferreira | Psychologist | 8 Westwoods Rd, Kennebunk, ME 04043-6274 | 2020-01-02 |
| 1699313098 | Mary E Scamman | Psychologist | 414 Sawyer St, South Portland, ME 04106-3961 | 2019-12-16 |
| 1861892671 | Jayne Boulos | Psychologist | 60 Edgewood Rd, Cape Elizabeth, ME 04107-1277 | 2014-08-28 |
| 1477969541 | Gretchen Jefferson | Psychologist | 15 Saunders Way Woodfords Family Services, Westbrook, ME 04092 | 2014-07-09 |
| 1841605557 | Alisa Renee Wing | Psychologist | 28a Main Road South, Hampden, ME 04444 | 2014-06-23 |
| 1891130928 | Iride Piechocki | Psychologist | 20 Granite Way, Rockport, ME 04856-5747 | 2013-05-02 |
| 1114292646 | Selene Marett | Psychologist | 70 Town Farm Rd, Gray, ME 04039-9517 | 2012-03-16 |
| 1619276300 | Marsene Caswell | Psychologist | 1070 Heald Highway, Union, ME 04862 | 2011-03-21 |
| 1205134913 | Alice Marie Gruba | Psychologist | 186 Southside Rd, York, ME 03909-5145 | 2011-03-03 |
| 1669775573 | Ed Stolkner | Psychologist | Msad 6 Rte 202, Bar Mills, ME 04004-0038 | 2010-12-15 |
| 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.