IndividualActive
Samuel Shaw-Wilgoski, PMHNP
NPI 1629834452 · Child & Family Psychiatric/Mental Health Clinical Nurse Specialist · Framingham, MA
Provider details
- NPI number
- 1629834452
- Entity type
- Individual
- Primary specialty
- Child & Family Psychiatric/Mental Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP
- Sex
- Male
- Sole proprietor
- No
- License
- RN2324798 (MA)
Specialties & taxonomies
- Child & Family Psychiatric/Mental Health Clinical Nurse SpecialistPrimary364SP0810XLicense RN2324798 (MA)
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
1881 Worcester Rd Ste 203
Framingham, MA 01701-5410
Phone: (860) 335-2418
Fax: (508) 532-1168
Approximate (ZIP-level) locationGet directions
Mailing address
1881 Worcester Rd Ste 203
Framingham, MA 01701-5410
Registry dates
- Enumerated
- 2024-02-28
- Last updated
- 2025-09-08
- Certified
- 2025-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.