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DR. BRUCE WARNER SHACKLETON ED.D.
NPI 1750474383
Psychologist - Clinical in Wayland, MA

Active since October 02, 2006
35 MAIN STREET #3, WAYLAND, MA 01778(508) 655-6322(508) 655-9793 Get Directions Write a Review

NPPES record last updated: February 26, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Bruce Warner Shackleton Ed.d. NPPES

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

DR. BRUCE WARNER SHACKLETON ED.D. (NPI 1750474383) is an individual clinical provider in Wayland, Massachusetts, licensed in Massachusetts (2621) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1750474383
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. BRUCE WARNER SHACKLETONCredential: ED.D.
Location Address35 MAIN STREET #3Wayland, MA 01778
Mailing AddressPost Office Box 5232Wayland, MA 01778 · (508) 655-6322 · Fax (508) 655-9793
Phone(508) 655-6322
Fax(508) 655-9793
Sole ProprietorYes
Enumeration DateOctober 2, 2006
Last NPPES UpdateFebruary 26, 2010
✔ NPI 1750474383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MA · 2621
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.
Also ListedPsychologistTaxonomy 103T00000X · License 2621 (MA)
35 MAIN STREET #3, Wayland, MA 01778
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Other Identifiers 1

Medicare ID-Type UnspecifiedW02692MA · Provider Number

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 Bruce Shackleton's NPI number?

The NPI number for Bruce Shackleton is 1750474383. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Bruce Shackleton located?

Bruce Shackleton practices at 35 Main Street #3, Wayland, MA 01778. The listed phone number is (508) 655-6322.

What is Bruce Shackleton's specialty?

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

When was this NPI record last updated?

The NPPES record for Bruce Shackleton was last updated on February 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.