Robyn Papathakis Shannon, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY29767 Issued in CA

Practice address

1035 San Pablo Ave
Albany, CA 94706-2275

Phone

(415) 237-0377

NPI assigned

Feb 13, 2018

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

Other names 1

• Robyn Elise Papathakis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1518480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518480000000",
    "number": "1063912350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5239 CLAREMONT AVE APT 26",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 SAN PABLO AVE",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947062275",
            "telephone_number": "415-237-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANNON",
        "first_name": "ROBYN",
        "middle_name": "PAPATHAKIS",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY29767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBYN",
            "last_name": "PAPATHAKIS",
            "middle_name": "ELISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jed Sekoff, PH.D.
• Karen Sellinger, MFT
• Brendan John Selway, D.D.S
• Senioravenue LLC
• Sepand H Hokmabadi DDS Inc
• Sharon J. Tyson, PH.D. and David J. Frankel, PH.D. a Psychology Corpor
• Brian Shea, ATC
• Hui-Chun Shen
• Shepcare Healthcare
• Gregory Shultz Jr., DPT

• Clinical Psychologist in Albany, CA
• Providers in Albany, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.