Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Sumio Shinohara, PSYD

Individual provider Clinical Psychologist · NPI 1457401564

Sumio Shinohara, PSYD is a Clinical Psychologist in Cambridge, Massachusetts. Qualified in 2004, 22 years ago. Practices with Nova Psychiatric Services, PC, a 17-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
22
Licensed in
MA
In the registry since
2007
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

872 Massachusetts Ave Ste 2-2 2-7
Cambridge, MA 02139
Phone: (617) 395-5806
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 8645 (MA)
Clinical Psychologist Taxonomy 103TC0700X · Licence 8645 (MA)

Record details

NPI number1457401564
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedJanuary 11, 2007
Last updated in NPPESMarch 3, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Nova Psychiatric Services, P.C — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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