SHELLY ISAACS (PSY.D) – Clinical Psychologist, NPI 1053382887

SHELLY ISAACS (PSY.D) is a healthcare provider. based in Newton, Massachusetts. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSY.D. They hold a License No. 6209 (MA). The NPI Number for SHELLY ISAACS (PSY.D) is 1053382887

Main info

Male
36 Years Of Experience
Accepts Medicare Assignment
Name
SHELLY ISAACS (PSY.D)
NPI
1053382887
Phone
(617) 332-2047
Address
2364 WASHINGTON ST
Enumeration Date
30 January 2006
Last Update Date
10 April 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5086683284
Graduation Year
1990 (36 years ago)
PAC ID
5092891309
Professional Enrollment ID
I20151015001607
Address ID
MA020812985WA869XXSTXX302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,694 CLINICAL PSYCHOLOGIST in MA

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Provider Addresses for SHELLY ISAACS (PSY.D)

  • 2362;2364;2366;2370, Washington Street, Newton Lower Falls, Newton, Middlesex County, Massachusetts, 02462, United States

    NEWTON, MA 024621440

    Phone: (617) 332-2047

    Fax: (617) 332-7341

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-10-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151015001607IClinical PsychologistMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02462)

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Reviews

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Frequently asked questions

What is the standard ID for SHELLY ISAACS (PSY.D) in the U.S.?
In the U.S., SHELLY ISAACS (PSY.D) is identified by NPI 1053382887.
Is SHELLY ISAACS (PSY.D) currently accepting referrals based on NPI status?
Registry metadata lists SHELLY ISAACS (PSY.D) as active.
What services align with SHELLY ISAACS (PSY.D)'s listing?
SHELLY ISAACS (PSY.D)'s public classification highlights Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SHELLY ISAACS (PSY.D)?
SHELLY ISAACS (PSY.D) is associated with Newton, Massachusetts in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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