JESSICA NICOLE SHORE PSY.D.
NPI 1225284516
Psychologist - Clinical in Philadelphia, PA

Q: What is Jessica Shore's NPI number?

The NPI number for Jessica Shore is 1225284516. It was assigned to this individual provider in the NPPES registry on August 18, 2008.

Q: What is Jessica Shore's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Shore was last updated on May 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 18, 2008

3535 MARKET ST FL 3, PHILADELPHIA, PA 19104(215) 746-6700 Get Directions Write a Review

NPPES record last updated: May 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 12, 2022, Nov 5, 2018 (2 updates tracked since 2018).

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About Jessica Nicole Shore Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA NICOLE SHORE PSY.D. (NPI 1225284516) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PS016961) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1225284516

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameJESSICA NICOLE SHORECredential: PSY.D.

Location Address3535 MARKET ST FL 3Philadelphia, PA 19104-3317

Mailing Address100 S Broad St, 17th FloorPhiladelphia, PA 19110 · (267) 603-3673

Phone(215) 746-6700

Sole ProprietorNo

Enumeration DateAugust 18, 2008

Last NPPES UpdateMay 12, 20222 updates tracked since enumeration

NPPES CertifiedApril 26, 2022

✔ NPI 1225284516 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in PA · PS016961

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

3535 MARKET ST FL 3, Philadelphia, PA 19104

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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIA A OQUENDO MD

Psychiatry & Neurology (Psychiatry)