Healthcare Provider Details

I. General information

NPI: 1841905742
Provider Name (Legal Business Name): SHANNON HOEY FNP-BC, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2023
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 CENTER ST STE 517
NORTHAMPTON MA
01060-3031
US

IV. Provider business mailing address

16 CENTER ST STE 517
NORTHAMPTON MA
01060-3031
US

V. Phone/Fax

Practice location:
  • Phone: 413-636-3829
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN2317696
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2317696
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: