Provider Demographics
NPI:1942312947
Name:SHEFF, JOHN JOSEPH (PSYD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:JOSEPH
Last Name:SHEFF
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 281
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD HILLS
Mailing Address - State:MA
Mailing Address - Zip Code:02051
Mailing Address - Country:US
Mailing Address - Phone:781-837-5398
Mailing Address - Fax:
Practice Address - Street 1:62 DERBY ST
Practice Address - Street 2:STE 13
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043
Practice Address - Country:US
Practice Address - Phone:781-749-4600
Practice Address - Fax:781-749-8341
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3171103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA04343088006OtherPACIFICARE BEHAVIORAL HEA
MA32239OtherHARVARD PILGRIM HEALTH CA
MA724653OtherTUFTS HEALTH PLAN
MA5495490OtherAETNA
MAW03652OtherBCBS OF MA
MAW03652OtherBCBS OF MA