DR. ALLAN WYATT (NPI# 1669595740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669595740 |
| Entity Type | Individual |
| Full Name | DR. ALLAN WYATT |
| Credential | PSY.D. |
| Practice Address |
586 Main St Shrewsbury MA 01545-2920 |
| Mailing Address |
187 Concord Rd Wayland MA 01778-1205 |
| Practice Telephone | 5083582144 |
| Practice Fax Number | 5083582149 |
| Mailing Telephone | 5083583546 |
| Mailing Fax Number | 5083582149 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 4515 | MA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CRO | W04353 | 01 |
| 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 |
| 1285758102 | Carolyn J. Smith,ph.d. | Psychologist | 586 Main St, Shrewsbury, MA 01545-2920 | 2007-03-17 |
| 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 | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184824831 | Rose Anne Turiano | Psychologist | 621 Shrewsbury Ave Ste 213, Shrewsbury, NJ 07702-5025 | 2007-07-20 |
| 1245448414 | Bradford William Carroll Sr. | Psychologist | 60 Blossom Tree Dr, Shrewsbury, MA 01545-6233 | 2007-05-19 |
| 1497974331 | Michael J. Donahue | Psychologist | 66 Walnut St, Shrewsbury, MA 01545-3366 | 2007-04-25 |
| 1770628802 | David A Landy | Psychologist | 322 Sycamore Ave, Shrewsbury, NJ 07702-4513 | 2007-02-20 |
| 1407914435 | Alfred Victor Bacotti | Psychologist | 420 Boston Tpke, Shrewsbury, MA 01545-3464 | 2006-12-04 |
| 1255422770 | Gail Ann Racicot | Psychologist | 250 Boston Turnpike, Shrewsbury, MA 01545 | 2006-09-28 |
| 1992722342 | Kristen Lara Keeports | Psychologist | 73 E Forrest Ave, Suite 350, Shrewsbury, PA 17361-1400 | 2006-07-15 |
| 1801851878 | Randy Jay Mendelson | Psychologist | 40 Avenue At The Commons #203, Shrewsbury, NJ 07702 | 2006-04-20 |
| 1083689509 | Mary C Nebus | Psychologist | 40 Ave At The Common, Suite 203, Shrewsbury, NJ 07702-4800 | 2006-02-19 |
| 1003174137 | Sarah Maccrae Stearns | Psychologist | 39 Avenue At The Cmn, Suite 106, Shrewsbury, NJ 07702-4807 | 2012-04-26 |
| 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.