John Shakin, is a
Student In An Organized Health Care Education/training Program based in Waltham, Massachusetts. John Shakin is licensed to practice in Massachusetts (license number ) and his current practice location is
77 Rumford Ave, Waltham, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(781) 894-4307.
NPI number for John Shakin is 1316536865 and his current mailing address is 77 Rumford Ave, Waltham, Massachusetts. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1316536865.
Healthcare Provider's Profile
| Full Name | John Shakin |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 77 Rumford Ave, Waltham, Massachusetts |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1316536865
- Provider Enumeration Date: 01/11/2021
- Last Update Date: 08/31/2026
Medical Identifiers
Medical identifiers for John Shakin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316536865 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John Shakin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
John Shakin,
77 Rumford Ave,
Waltham, MA 02453-3872
Ph: (781) 894-4307 | John Shakin,
77 Rumford Ave,
Waltham, MA 02453-3872
Ph: (781) 894-4307 |
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