Individual provider Active NPI

Lori Ann Thomas-Shaw, PH.D.

  • Clinical Psychologist
  • Thousand Oaks, CA
National Provider Identifier
1174740070
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY10444 Issued in CA
Practice address
325 E Hillcrest Dr Ste 115
Thousand Oaks, CA 91360-7782
Phone
(805) 371-1825
Fax
(805) 499-2742
NPI assigned
Apr 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY10444 CA Primary

Addresses

Primary practice location

325 E Hillcrest Dr Ste 115
Thousand Oaks, CA 91360-7782

Mailing address

256 Twin Oaks Rd
Jacksonville, OR 97530-9746
Phone (805) 371-1825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040216000423 CA Practitioner - Clinical Psychologist 0547155087 Practice locations: Thousand Oaks, CA
I20250429002836 OR Practitioner - Clinical Psychologist 0547155087 Practice locations: Jacksonville, OR

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Thousand Oaks, CA 91360
Phone (805) 341-1184

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew J Leone, PSYD a Psychological Corporation Clinical CurrentSince Nov 30, 2025 Accepting new patients

Locations

325 E Hillcrest Dr
Ste 115
Thousand Oaks, CA 91360
Phone (805) 341-1184

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1174740070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 TWIN OAKS RD",
            "city": "JACKSONVILLE",
            "state": "OR",
            "postal_code": "975309746",
            "telephone_number": "805-371-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 E HILLCREST DR STE 115",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913607782",
            "telephone_number": "805-371-1825",
            "fax_number": "805-499-2742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS-SHAW",
        "first_name": "LORI",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY10444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.