Active NPIIndividual providerSole proprietor

Dr. Colleen Shay, PHD

Psychologist, School in Old Lyme, Connecticut

NPI Number1427642891
Practice location
81 Halls Road, Suite B, Old Lyme, CT 06371
Fax
—
Last updated
February 25, 2021

Colleen Shay is a Psychologist, School based in Old Lyme, CT. Colleen Shay practices in Old Lyme, CT and has the professional credentials of PHD. The NPI Number for Colleen Shay is 1427642891 and holds a License No. 2640 (CT). The current practice location address for Colleen Shay is 81 Halls Road, Suite B, Old Lyme, CT 06371 and can be reached out via phone at 860-390-6185.

Provider Profile Details

NPI Number
1427642891
Provider Name
Colleen Shay
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
81 Halls Road, Suite B, Old Lyme, CT 06371
Phone Number
860-390-6185
Primary Taxonomy
Psychologist, School · 103TS0200X
Sole Proprietor
Yes
Provider Enumeration Date
February 25, 2021
Last Update Date
February 25, 2021
Certification Date
February 8, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
81 Halls Road
Suite B
Old Lyme, CT 06371
Zip
06371
Phone Number
860-390-6185
Old Lyme, CT 06371Get directions →

Provider Business Mailing Address Details

Address
81 Halls Road
Suite B
Old Lyme, CT 06371
City
Old Lyme
State
CT
Zip
06371
Phone Number
860-390-6185

License Information

License Number
2640
License State
CT
Taxonomy
Psychologist, School · 103TS0200X · 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. Colleen Shay, PHD?

The NPI number of Dr. Colleen Shay, PHD is 1427642891. It was assigned on February 25, 2021 and is currently active in the NPPES registry.

What is the specialty of Dr. Colleen Shay, PHD?

Dr. Colleen Shay, PHD is registered under the primary taxonomy Psychologist, School (code 103TS0200X), licensed in CT under license number 2640.

Where does Dr. Colleen Shay, PHD practice?

The practice location is 81 Halls Road, Suite B, Old Lyme, CT 06371. The office can be reached at 860-390-6185 (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 1427642891 directly on the NPPES registry website.

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