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
State | License ID | Taxonomies |
---|---|---|
MA | 3171 | 103TC0700X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | Clinical |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
MA | 04343088006 | Other | PACIFICARE BEHAVIORAL HEA |
MA | 32239 | Other | HARVARD PILGRIM HEALTH CA |
MA | 724653 | Other | TUFTS HEALTH PLAN |
MA | 5495490 | Other | AETNA |
MA | W03652 | Other | BCBS OF MA |
MA | W03652 | Other | BCBS OF MA |