Bryony Shaw, MA LMFT LAADC-CA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

106776 Issued in CA

Practice address

720 Wood St
Eureka, CA 95501

Phone

(707) 268-2990

NPI assigned

Jan 24, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• Crystal Durrett, Licensed Clinical Social Worker, PC

  • Community/Behavioral Health Agency
  • Eureka, CA
  • NPI 1730799925
  NPD (past)

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1053616953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 WOOD ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955014413",
            "telephone_number": "805-814-6104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 WOOD ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "95501",
            "telephone_number": "707-268-2990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1198 Navigator Dr # 54",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930014334",
            "country_code": "US",
            "telephone_number": "805-746-2691",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3639 Harbor Blvd Ste 203I",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "93001",
            "country_code": "US",
            "telephone_number": "805-814-6104",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3639 Harbor Blvd Ste 203I",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "93001",
            "country_code": "US",
            "telephone_number": "805-814-6104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "BRYONY",
        "credential": "MA LMFT LAADC-CA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-24",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "106776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REHAB ACTIVITY LEADER",
            "identifier": "174400000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Panna R Shah, MD
• Melissa Shannon
• Dean H Shapiro, D.C.
• Nicole Christine Shattuck, DO
• Nicole Shaughn
• Megan Shaw
• Courtney Shayne, BA AND ED SPECIALIST
• Jesseca Dianarose Shearer, LVN
• Kathleen Sheedy
• Danielle Sheehy, DNP, APRN, FNP-C, RN

• Marriage & Family Therapist in Eureka, CA
• Providers in Eureka, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.