Active NPIIndividual providerSole proprietor

Dr. Shannon Lewis, PSYD

Psychologist, Clinical in Stoughton, Massachusetts

NPI Number1811206121
Practice location
450 Pearl St Ste 3, Stoughton, MA 02072-1617
Fax
—
Last updated
February 7, 2022

Shannon Lewis is a Psychologist, Clinical based in Stoughton, MA. Shannon Lewis practices in Stoughton, MA and has the professional credentials of PSYD. The NPI Number for Shannon Lewis is 1811206121 and holds a License No. 9667 (MA). The current practice location address for Shannon Lewis is 450 Pearl St Ste 3, Stoughton, MA 02072-1617 and can be reached out via phone at 781-318-3177.

Provider Profile Details

NPI Number
1811206121
Provider Name
Shannon Lewis
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
450 Pearl St Ste 3, Stoughton, MA 02072-1617
Phone Number
781-318-3177
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
October 4, 2010
Last Update Date
February 7, 2022
Certification Date
February 7, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
450 Pearl St Ste 3
Stoughton, MA 02072-1617
Zip
02072-1617
Phone Number
781-318-3177
Stoughton, MA 02072Get directions →

Provider Business Mailing Address Details

Address
450 Pearl St Ste 3
Stoughton, MA 02072-1617
City
Stoughton
State
MA
Zip
02072-1617
Phone Number
781-318-3177

License Information

License Number
9667
License State
MA
Taxonomy
Psychologist, Clinical · 103TC0700X · 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. Shannon Lewis, PSYD?

The NPI number of Dr. Shannon Lewis, PSYD is 1811206121. It was assigned on October 4, 2010 and is currently active in the NPPES registry.

What is the specialty of Dr. Shannon Lewis, PSYD?

Dr. Shannon Lewis, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 9667.

Where does Dr. Shannon Lewis, PSYD practice?

The practice location is 450 Pearl St Ste 3, Stoughton, MA 02072-1617. The office can be reached at 781-318-3177 (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 1811206121 directly on the NPPES registry website.

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