ELIZABETH LANE SHUM PSY.D
NPI 1457722829
Psychologist - Clinical in East Boston, MA

Q: What is Elizabeth Shum's NPI number?

The NPI number for Elizabeth Shum is 1457722829. It was assigned to this individual provider in the NPPES registry on October 12, 2015.

Q: What is Elizabeth Shum'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 Elizabeth Shum was last updated on May 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 October 12, 2015

10 GOVE ST, EAST BOSTON, MA 02128(617) 569-5800(617) 568-4756 Get Directions Write a Review

NPPES record last updated: May 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 10, 2021, Feb 26, 2019 (2 updates tracked since 2019).

On this page

About Elizabeth Lane Shum Psy.d NPPES

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

ELIZABETH LANE SHUM PSY.D (NPI 1457722829) is an individual clinical provider in East Boston, Massachusetts, licensed in Massachusetts (11489) and active in the NPI registry since October 2015. She maintains a secondary practice location in Knoxville.

NPPES Registry Identity

NPI1457722829

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameELIZABETH LANE SHUMCredential: PSY.D

Location Address10 GOVE STEast Boston, MA 02128-1920

Mailing Address10 Gove StEast Boston, MA 02128-1920 · (617) 569-5800 · Fax (617) 568-4756

Phone(617) 569-5800

Fax(617) 568-4756

Sole ProprietorNo

Enumeration DateOctober 12, 2015

Last NPPES UpdateMay 10, 20212 updates tracked since enumeration

NPPES CertifiedMay 10, 2021

✔ NPI 1457722829 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 MA · 11489

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.

10 GOVE ST, East Boston, MA 02128

Open in Google Maps ↗

Secondary Practice Location 1

Location 12018 Western AveKnoxville, TN 37921-5718 · Phone (865) 544-0406 · Fax (865) 544-0480

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. SUTAPA GHOSH M.D.

Obstetrics & Gynecology