DR. LISA SHAW PH.D. NPI 1982740627

NPI Information

NPI: 1982740627
Provider Name: DR. LISA SHAW, PH.D.
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual
Address:
344 HARVARD ST
SUITE #1
BROOKLINE, MA
ZIP 02446
Phone: (617) 277-6286
Get Directions

DR. Lisa Shaw, PH.D. is a clinical neuropsychologist in Brookline, MA. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Lisa Shaw, PH.D. NPI is 1982740627. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

344 HARVARD ST
SUITE #1
BROOKLINE, MA
ZIP 02446-917
Phone: (617) 277-6286
Fax: (617) 277-6286

The enumeration date for this NPI number is 1/29/2007 and was last updated on 7/9/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103G00000X	Clinical Neuropsychologist		3659	MASSACHUSETTS	Yes
2	103TB0200X	Psychologist	Cognitive & Behavioral	3659	MASSACHUSETTS	X
3	103TC0700X	Psychologist	Clinical	3659	MASSACHUSETTS	X
4	103TC2200X	Psychologist	Clinical Child & Adolescent	3659	MASSACHUSETTS	X
5	103TF0000X	Psychologist	Family	3659	MASSACHUSETTS	X
6	103TH0100X	Psychologist	Health Service	3659	MASSACHUSETTS	X
7	103TM1800X	Psychologist	Intellectual and Developmental Disabilities	3659	MASSACHUSETTS	X
8	103T00000X	Psychologist		3659	MASSACHUSETTS	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	W03688	OTHER	MASSACHUSETTS	BCBSMA PROVIDER NUMBER
2	0514489	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »