Shama Beth Chaiken, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY14901 Issued in CA

Practice address

3330 Heights Dr Ste 120
Cameron Park, CA 95682-7769

Phone

(530) 677-4404

Fax

(530) 677-4545

NPI assigned

Jun 8, 2009

Last updated

May 1, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Rose-Marie Y. NietoGroup PAC ID 2163556531, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cameron Park Counseling Center, Inc.

  dba Cameron Park Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cameron Park, CA
  • NPI 1477760874
  Medicare reassignment Care Compare group
• Cameron Park Counseling Center

  • Point of Service
  • Cameron Park, CA
  • NPI 1093104325
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1003042763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5103 CLARION CT",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956678668",
            "telephone_number": "530-957-4852",
            "fax_number": "530-957-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 HEIGHTS DR STE 120",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956827769",
            "telephone_number": "530-677-4404",
            "fax_number": "530-677-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAIKEN",
        "first_name": "SHAMA",
        "middle_name": "BETH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-08",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY14901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cancer and Blood Specialty Clinic
• Breanna Canclini, OTR/L
• Dennis Kevin Caskey, LCSW
• Janey Arlene Caylor, RN
• Center for Functional & Integrative Medicine, Inc
• Allen Earl Chantry, DDS
• Helen Yen-Hwa Cheng, M.D.
• Wai Kan Chiu, M.D., PH.D.
• Lauren Chong, ND
• CHW Medical Foundation (Mercy Medical Group, a Service of CHW Medical Foundation)

• Clinical Psychologist in Cameron Park, CA
• Providers in Cameron Park, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.