Kimberly Shaw, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

KIMBERLY SHAW, MFT

Practice address

140 Mayhew Way Ste 300
Pleasant Hill, CA 94523-4398

Phone

(510) 495-4217

NPI assigned

Jun 10, 2022

Organization subpart

No

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

Authorized official

Name

Kimberly Scott Shaw, MFTNPI 1083274328

Title

Director

Phone

(510) 495-4217

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Scott Shaw, MFT

  • Marriage & Family Therapist
  • Pleasant Hill, CA
  • NPI 1083274328
  NPD Authorized official

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1063142354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 SYCAMORE AVE UNIT 5632",
            "city": "HERCULES",
            "state": "CA",
            "postal_code": "945476027",
            "telephone_number": "510-495-4217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 MAYHEW WAY STE 300",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234398",
            "telephone_number": "510-495-4217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY SHAW, MFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-10",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "510-495-4217",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brad Kendall
• Sophie Keshi
• Kickstart O&P, LLC (Kickstart Orthotics and Prosthetics)
• Jean Young-Yum Kim, D.D.S.
• Jennifer Y Kim, D.D.S.
• Alison Joy King
• Jennifer D King, PHARMD
• Marilee King, LMFT
• Christopher Kirkpatrick, CADCII
• Ryan Kolakoski, PSYD

• Marriage & Family Therapist in Pleasant Hill, CA
• Providers in Pleasant Hill, 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 Jun 10, 2022; 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.