Shaun Christopher O'Malley, CATC II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

6418 Issued in CA

Practice address

929 Spring St
Placerville, CA 95667

Phone

(530) 621-6146

Fax

(530) 387-2308

NPI assigned

Sep 14, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• County of El Dorado

  • Community/Behavioral Health Agency
  • Placerville, CA
  • NPI 1053839092
  NPD (past)

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1194033928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 SPRING ST",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956674543",
            "telephone_number": "530-621-6146",
            "fax_number": "530-387-2308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 SPRING ST",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "95667",
            "telephone_number": "530-621-6146",
            "fax_number": "530-387-2308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3057 Briw Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Placerville",
            "state": "CA",
            "postal_code": "956675335",
            "country_code": "US",
            "telephone_number": "530-621-7439",
            "fax_number": "530-387-2308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2844 Coloma St",
            "address_purpose": "LOCATION",
            "city": "Placerville",
            "state": "CA",
            "postal_code": "95667",
            "country_code": "US",
            "telephone_number": "530-626-9240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3057 Briw Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "Placerville",
            "state": "CA",
            "postal_code": "956675335",
            "country_code": "US",
            "telephone_number": "530-621-7439",
            "fax_number": "530-387-2308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'MALLEY",
        "first_name": "SHAUN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "CATC II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-14",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "167723II",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "6418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUDCC IV",
            "identifier": "6418",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerrie Suzanne North-Calderon, PA C
• Leilani Norton, M.D.
• Michelle Renee Nowka
• Vincent Patrick O'Brien Guerrero, MD, MBA
• Jocelyne Renee O'Connor, FNP
• Susan Catherine Ocheltree
• Dana Oie
• Anietie E Okon, M.D.
• Edward H Olvera, M.A.
• Heather Rene Orchard, F.N.P.

• Addiction (Substance Use Disorder) Counselor in Placerville, CA
• Providers in Placerville, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.