Shawn Channell, PHD
Psychologist, Forensic in Fitchburg, Massachusetts
1184112948- Practice location
- 76 Summer St Ste 115, Fitchburg, MA 01420-5705
- Phone
- 978-257-4958
- Fax
- —
- Last updated
- April 27, 2018
Shawn Channell is a Psychologist, Forensic based in Fitchburg, MA. Shawn Channell practices in Fitchburg, MA and has the professional credentials of PHD. The NPI Number for Shawn Channell is 1184112948 and holds a License No. 18566 (CA). The current practice location address for Shawn Channell is 76 Summer St Ste 115, Fitchburg, MA 01420-5705 and can be reached out via phone at 978-257-4958.
Provider Profile Details
- NPI Number
- 1184112948
- Provider Name
- Shawn Channell
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 76 Summer St Ste 115, Fitchburg, MA 01420-5705
- Phone Number
- 978-257-4958
- Primary Taxonomy
- Psychologist, Forensic · 103TF0200X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 27, 2018
- Last Update Date
- April 27, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 76 Summer St Ste 115
Fitchburg, MA 01420-5705 - City
- Fitchburg
- State
- Massachusetts
- Zip
- 01420-5705
- Phone Number
- 978-257-4958
Provider Business Mailing Address Details
- Address
- 144 Main St
Westminster, MA 01473-1542 - City
- Westminster
- State
- MA
- Zip
- 01473-1542
- Phone Number
- 978-257-4958
License Information
- License Number (1)
- 18566
- License State (1)
- CA
- Taxonomy (1)
- Psychologist, Clinical · 103TC0700X
- License Number (2)
- 9403
- License State (2)
- MA
- Taxonomy (2)
- Psychologist, Forensic · 103TF0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologist, Forensic providers near Fitchburg, MA
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Frequently Asked Questions
What is the NPI number of Shawn Channell, PHD?
The NPI number of Shawn Channell, PHD is 1184112948. It was assigned on April 27, 2018 and is currently active in the NPPES registry.
What is the specialty of Shawn Channell, PHD?
Shawn Channell, PHD is registered under the primary taxonomy Psychologist, Forensic (code 103TF0200X), licensed in CA under license number 18566.
Where does Shawn Channell, PHD practice?
The practice location is 76 Summer St Ste 115, Fitchburg, MA 01420-5705. The office can be reached at 978-257-4958 (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 1184112948 directly on the NPPES registry website.