Holly Renee Hopkins Shah, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY19534 Issued in CA

Practice address

14651 S Bascom Ave
Ste. 230
Los Gatos, CA 95032-2014

Phone

(408) 358-8090

Fax

(408) 358-3940

NPI assigned

Feb 21, 2007

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 1, 2024 through Oct 1, 2026

Medicare enrollment (NPD)

Enrolled

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.

• Healing Minds Therapy Associates

  dba Holly Hopkins Shah, Psy.D.

  • Psychologist
  • San Jose, CA
  • NPI 1780475418
  NPD (past) Authorized official
• Saad a. Shakir, M.D. Inc.

  dba Silicon Valley TMS

  • Psychiatry Physician
  • San Jose, CA
  • NPI 1073658050
  NPD (past)
• Silicon Valley Integrated Sleep Center Apc

  • Clinical Medical Laboratory
  • Los Gatos, CA
  • NPI 1821341389
  NPD (past)

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114052370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14651 S BASCOM AVE",
            "address_2": "STE. 230",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322014",
            "telephone_number": "408-358-8090",
            "fax_number": "408-358-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14651 S BASCOM AVE",
            "address_2": "STE. 230",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322014",
            "telephone_number": "408-358-8090",
            "fax_number": "408-358-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPKINS SHAH",
        "first_name": "HOLLY",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY19534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Holden, L.AC.
• Chelsey Holdsworth
• Barbara Mah Hom, MD
• Melinia J Honjo, DHSC, P.A.-C
• Hope Integrative Acupuncture and Rehabilitation Services, Inc
• Horizons Pharmacy Services, PC.
• Natalie Patrice Horn
• Erica Marie Hospes, DHS, LMFT, MACP
• Howard M. May, D.D.S., P.C.
• Heather Lynn Howard

• Clinical Psychologist in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.