Jill D. Shalan, PH.D. CLINICAL PSYCH
NPI 1881922326ActiveIndividual· Psychologist, Clinical· Avon, CT
Psychologist, Clinical (PH.D. CLINICAL PSYCH) in Avon, Connecticut, licensed in CT, with an NPI issued in November 2009. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1881922326 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. CLINICAL PSYCH |
| Sole proprietor | No |
| NPI issued | Nov 20, 2009 |
| Last updated in NPPES | Nov 20, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 002308 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (CT) |
|---|
Education and affiliations
| Graduation year | 1989 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
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All 24 clinical psychologists in Avon · All clinical psychologists in Connecticut