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Shanell Percy

Music Therapist in West Haven, CT. Individual provider (NPI-1).

NPI number1104584176
StatusActive
Last updated in NPPESMay 29, 2024

Details

NPI
1104584176
Entity type
Individual (NPI-1)
Name
Shanell Percy
Sex
Female
Sole proprietor
No
Enumeration date
Dec 7, 2021
Certification date
May 29, 2024
Last updated
May 29, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
Can order and refer
Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225A00000X Music Therapist17805CTYes
101YM0800X Counselor, Mental Health––

Practice location

950 Campbell Ave
West Haven, CT 06516-2770

Phone 203-932-5711

Mailing address

950 Campbell Ave
West Haven, CT 06516-2770

Phone 203-932-5711

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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