DR. BRUCE WARNER SHACKLETON (ED.D.) – Clinical Psychologist, NPI 1750474383

DR. BRUCE WARNER SHACKLETON (ED.D.) is a healthcare provider. based in Wayland, Massachusetts. specializing in Clinical Psychologist. They hold the professional credentials ED.D.. They hold a License No. 2621 (MA). The NPI Number for DR. BRUCE WARNER SHACKLETON (ED.D.) is 1750474383

Main info

Male
Sole Proprietor
47 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRUCE WARNER SHACKLETON (ED.D.)
NPI
1750474383
Phone
(508) 655-6322
Address
POST OFFICE BOX 5232
Enumeration Date
2 October 2006
Last Update Date
26 February 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5086556322
Graduation Year
1979 (47 years ago)
PAC ID
4587644422
Professional Enrollment ID
I20040722000107
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. BRUCE WARNER SHACKLETON (ED.D.)

  • Wayland Post Office, West Main Street, Wayland, Henry County, Iowa, 52654, United States

    WAYLAND, MA 01778

    Phone: (508) 655-6322

    Fax: (508) 655-9793

    Type: Mailing

  • 35 MAIN STREET #3

    WAYLAND, MA 01778

    Phone: (508) 655-6322

    Fax: (508) 655-9793

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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Insurance plans in this area (ZIP 01778)

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Frequently asked questions

How do I look up DR. BRUCE WARNER SHACKLETON (ED.D.) by NPI?
Use NPI 1750474383 when you need to reference DR. BRUCE WARNER SHACKLETON (ED.D.) in forms, claims, or directories.
Is DR. BRUCE WARNER SHACKLETON (ED.D.) currently active in the NPI registry?
CMS-published data lists DR. BRUCE WARNER SHACKLETON (ED.D.) as an active registrant.
What field does DR. BRUCE WARNER SHACKLETON (ED.D.) work in?
You can think of DR. BRUCE WARNER SHACKLETON (ED.D.) as practicing within Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. BRUCE WARNER SHACKLETON (ED.D.)?
The page summarizes Wayland, Massachusetts for DR. BRUCE WARNER SHACKLETON (ED.D.); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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