Active NPIIndividual provider

Shakeith Bodden

Counselor in Roxbury, Massachusetts

NPI Number1093615536
Practice location
520 Dudley St, Roxbury, MA 02119-2769
Fax
—
Last updated
November 9, 2026

Shakeith Bodden is a Counselor based in Roxbury, MA. Shakeith Bodden practices in Roxbury, MA. The NPI Number for Shakeith Bodden is 1093615536. The current practice location address for Shakeith Bodden is 520 Dudley St, Roxbury, MA 02119-2769 and can be reached out via phone at 617-445-6655.

Provider Profile Details

NPI Number
1093615536
Provider Name
Shakeith Bodden
Provider Entity Type
Individual
Gender
Female
Address
520 Dudley St, Roxbury, MA 02119-2769
Phone Number
617-445-6655
Primary Taxonomy
Counselor · 101Y00000X
Sole Proprietor
No
Provider Enumeration Date
November 9, 2026
Last Update Date
November 9, 2026
Certification Date
November 9, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
520 Dudley St
Roxbury, MA 02119-2769
Zip
02119-2769
Phone Number
617-445-6655
Roxbury, MA 02119Get directions →

Provider Business Mailing Address Details

Address
520 Dudley St
Roxbury, MA 02119-2769
City
Roxbury
State
MA
Zip
02119-2769

License Information

Taxonomy
Counselor · 101Y00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Shakeith Bodden?

The NPI number of Shakeith Bodden is 1093615536. It was assigned on November 9, 2026 and is currently active in the NPPES registry.

What is the specialty of Shakeith Bodden?

Shakeith Bodden is registered under the primary taxonomy Counselor (code 101Y00000X).

Where does Shakeith Bodden practice?

The practice location is 520 Dudley St, Roxbury, MA 02119-2769. The office can be reached at 617-445-6655 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1093615536 directly on the NPPES registry website.

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