Individual provider · Type 1 NPI

John Shakin

Student in an Organized Health Care Education/Training Program · Waltham, MA

NPI number 1316536865 Active

Practice location

77 Rumford Ave
Waltham, MA 02453-3872

Call (781) 894-4307 Map

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000XNone listed
Social Worker 104100000XNone listed
Counselor 101Y00000XNone listed
Mental Health Counselor 101YM0800XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1316536865

John Shakin's National Provider Identifier is 1316536865, issued on Jan 11, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Waltham, MA. The record was last updated on Aug 31, 2026.