Active NPIIndividual providerSole proprietor

Dr. Jessie A Shah, PHD

Psychologist in Wellesley, Massachusetts

NPI Number1295027415
Practice location
8 Grove St Ste 300, Wellesley, MA 02482-7739
Fax
—
Last updated
February 12, 2019

Jessie Anne Shah is a Psychologist based in Wellesley, MA. Jessie Anne Shah practices in Wellesley, MA and has the professional credentials of PHD. The NPI Number for Jessie Anne Shah is 1295027415 and holds a License No. 9825 (MA). The current practice location address for Jessie Anne Shah is 8 Grove St Ste 300, Wellesley, MA 02482-7739 and can be reached out via phone at 857-626-6995.

Provider Profile Details

NPI Number
1295027415
Provider Name
Jessie Anne Shah
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
8 Grove St Ste 300, Wellesley, MA 02482-7739
Phone Number
857-626-6995
Primary Taxonomy
Psychologist · 103T00000X
Sole Proprietor
Yes
Other Names
Dr. Jessie Anne Fontanella, PHD (Former Name)
Provider Enumeration Date
May 5, 2011
Last Update Date
February 12, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
8 Grove St Ste 300
Wellesley, MA 02482-7739
Zip
02482-7739
Phone Number
857-626-6995
Wellesley, MA 02482Get directions →

Provider Business Mailing Address Details

Address
8 Grove St Ste 300
Wellesley, MA 02482-7739
City
Wellesley
State
MA
Zip
02482-7739
Phone Number
857-626-6995

License Information

License Number
9825
License State
MA
Taxonomy
Psychologist · 103T00000X · 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 Dr. Jessie A Shah, PHD?

The NPI number of Dr. Jessie A Shah, PHD is 1295027415. It was assigned on May 5, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Jessie A Shah, PHD?

Dr. Jessie A Shah, PHD is registered under the primary taxonomy Psychologist (code 103T00000X), licensed in MA under license number 9825.

Where does Dr. Jessie A Shah, PHD practice?

The practice location is 8 Grove St Ste 300, Wellesley, MA 02482-7739. The office can be reached at 857-626-6995 (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 1295027415 directly on the NPPES registry website.

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