SHANNON MCKENZIE PETERS PHD
NPI 1457099822
Psychologist in Boston, MA

Active since May 25, 2022
73 BAY STATE RD APT BF, BOSTON, MA 02215(603) 562-6735 Get Directions Write a Review

NPPES record last updated: May 25, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shannon Mckenzie Peters Phd NPPES

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

SHANNON MCKENZIE PETERS PHD (NPI 1457099822) is an individual psychologist in Boston, Massachusetts, licensed in Massachusetts (11466) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1457099822
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameSHANNON MCKENZIE PETERSCredential: PHD
Location Address73 BAY STATE RD APT BFBoston, MA 02215-1812
Mailing Address73 Bay State Rd Apt BfBoston, MA 02215-1812 · (603) 562-6735
Sole ProprietorYes
Enumeration DateMay 25, 2022
NPPES CertifiedMay 25, 2022
NPI 1457099822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in MA · 11466
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

73 BAY STATE RD APT BF, Boston, MA 02215

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457099822, enumerated as an "individual" on May 25, 2022.

The provider is located at 73 BAY STATE RD APT BF BOSTON, MA 02215 and the phone number is (603) 562-6735.

Psychologist with taxonomy code 103T00000X.