Tani G Shaffer, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY22438 Issued in CA

Practice address

6929 Fair Oaks Blvd # 1885
Carmichael, CA 95608-9900

Phone

(916) 671-4468

NPI assigned

Aug 25, 2008

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

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tani.shaffer.1@3548.direct.athenahealth.com

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.

• HLN Physicians Inc

  • Psychiatry Physician
  • Gold River, CA
  • NPI 1073899191

  Clinical

  Medicare reassignment NPD
• Uhs BH Telepsych FL, PLLC

  • Psychiatry Physician
  • Ponte Vedra Beach, FL
  • NPI 1790453033

  Clinical

  NPD (past)

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1174770861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6929 FAIR OAKS BLVD # 1885",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956089900",
            "telephone_number": "916-671-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6929 FAIR OAKS BLVD # 1885",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956089900",
            "telephone_number": "916-671-4468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "TANI",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-25",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY22438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Gar Semisch Jr.
• Geethanjali Sennimalai, M.D.
• Serene Relaxation LLC (Serene Relaxation)
• John Michael Sergent, ASW
• Zubeda A. Seyal, MD
• Yasmin Tahira Shaikh Petrie
• Mohamed Shamel
• Shantal Shamoiel
• Maryanne K. Shannon, N.P.
• Amy Melissa Shapiro, RN, FNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.