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MS. AMANDA SHACKELL APRN
NPI 1295982429
Nurse Practitioner - Psychiatric/Mental Health in New Haven, CT

Active since August 19, 2008
1 LONG WHARF DR, NEW HAVEN, CT 06511(203) 781-4600(203) 781-4624 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 24, 2022, Jan 9, 2017 (2 updates tracked since 2017).

About Ms. Amanda Shackell Aprn NPPES

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

MS. AMANDA SHACKELL APRN (NPI 1295982429) is an individual psychiatric/mental health provider in New Haven, Connecticut, licensed in Connecticut (002620) and active in the NPI registry since August 2008.

NPPES Registry Identity

NPI1295982429
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. AMANDA SHACKELLCredential: APRN
Location Address1 LONG WHARF DRNew Haven, CT 06511-5991
Mailing Address1 Long Wharf Dr, Ste 321New Haven, CT 06511-5991 · (203) 781-4600 · Fax (203) 781-4624
Phone(203) 781-4600
Fax(203) 781-4624
Sole ProprietorNo
Enumeration DateAugust 19, 2008
Last NPPES UpdateJanuary 24, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2022
✔ NPI 1295982429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CT · 002620
1 LONG WHARF DR, New Haven, CT 06511
Open in Google Maps ↗

Other Identifiers 15

Medicaid004082286CT
Medicaid004082260CT
Medicaid004217099CT
Medicaid008001325CT
Medicaid008003745CT
Medicaid008024427CT
Medicaid500000315CT
OtherC01033CT · Medicare Identification Number
Medicaid004041000CT
Medicaid008023170CT
Medicaid008042339CT
Medicaid008037391CT
Medicaid008022626CT
Medicaid008022622CT
Medicaid008039745CT

Other Providers at the Same Location NPPES 20

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

DR. NEEMA DAD DDS
Student in an Organized Health Care Education/Training Program
1 LONG WHARF DR, YNHH PEDIATRIC DENTISTRY, STE 403
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 688-3000
ASHLEY ANTONUCCI DNP- FNP
Nurse Practitioner (Family)
1 LONG WHARF DR
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 688-8800
JEANETTE M TETRAULT MD
Internal Medicine
1 LONG WHARF DR
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 781-4600
HEIDI CLARKE LPN
Licensed Practical Nurse
1 LONG WHARF DR
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 781-4600
DR. LAUREL EDWARDS PSY.D.
Psychologist
1 LONG WHARF DR, SUITE 7
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 974-5775
MRS. JOANNA SAMOSKEVICH
Nurse Practitioner (Family)
1 LONG WHARF DR
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 785-7689
DONNA LAPAGLIA PSY.D.
Psychologist (Clinical)
1 LONG WHARF DR, SATU
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 974-5734
JENNIFER LOYA PHD
Psychologist
1 LONG WHARF DR
NEW HAVEN, CT 06511
South Central Connecticut Planning Region (203) 974-5726

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Shackell's NPI number?

The NPI number for Amanda Shackell is 1295982429. It was assigned to this individual provider in the NPPES registry on August 19, 2008.

Where is Amanda Shackell located?

Amanda Shackell practices at 1 Long Wharf Dr, New Haven, CT 06511. The listed phone number is (203) 781-4600.

What is Amanda Shackell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Amanda Shackell was last updated on January 24, 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.