Dr Shoshana J Fagen, PSYD is a
Psychologist - Clinical Child & Adolescent based in Brighton, Massachusetts. Dr Shoshana J Fagen is licensed to practice in Massachusetts (license number 9952) and her current practice location is
30 Warren St, Brighton, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(617) 254-3800.
NPI number for Dr Shoshana J Fagen is 1295054195 and her current mailing address is 30 Warren St, Brighton, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295054195.
Healthcare Provider's Profile
Full Name | Dr Shoshana J Fagen |
---|
Gender | Female |
---|
Speciality | Psychologist - Clinical Child & Adolescent |
---|
Location | 30 Warren St, Brighton, Massachusetts |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1295054195
- Provider Enumeration Date: 05/18/2010
- Last Update Date: 04/18/2023
Medical Identifiers
Medical identifiers for Dr Shoshana J Fagen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1295054195 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 8354 (Massachusetts) | Secondary |
103TC2200X | Psychologist - Clinical Child & Adolescent | 9952 (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shoshana J Fagen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Shoshana J Fagen, PSYD 30 Warren St, Brighton, MA 02135-3602 Ph: (617) 254-3800 | Dr Shoshana J Fagen, PSYD 30 Warren St, Brighton, MA 02135-3602 Ph: (617) 254-3800 |
Reviews and Comments