SHAWN CHANNELL PH.D. NPI 1184112948

NPI Information

NPI: 1184112948
Provider Name: SHAWN CHANNELL, PH.D.
Classification: Psychologist - 103TF0200X
Entity Type: Individual

Specialization: Forensic

PECOS Registration: Yes

Address:
76 SUMMER ST STE 115
FITCHBURG, MA
ZIP 01420
Phone: (978) 257-4958
Get Directions

Shawn Channell, PH.D. is a forensic psychologist in Fitchburg, MA. The provider is a psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems. Shawn Channell, PH.D. NPI is 1184112948. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

76 SUMMER ST STE 115
FITCHBURG, MA
ZIP 01420-705
Phone: (978) 257-4958

The NPI 1184112948 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/27/2018 and was last updated on 4/27/2018.

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	103TC0700X	Psychologist	Clinical	18566	CALIFORNIA	No
2	103TF0200X	Psychologist	Forensic	9403	MASSACHUSETTS	Yes

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: 11/14/2023

NPI Synchronization or Removal

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