Active NPI
Yue Shi, PH.D.
- Psychologist
- Davis, CA
National Provider Identifier
1235806035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 32812
- Practice address
- 1 Shields Avenue
219 North Hall
Davis, CA 95616 - Phone
- (530) 752-1419
- NPI assigned
- Aug 27, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 32812 | CA | Primary |
Addresses
Primary practice location
1 Shields Avenue
219 North Hall
Davis, CA 95616
Mailing address
1 Shields Avenue
219 North Hall
Davis, CA 95616
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32812 | CA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630022400000",
"number": "1235806035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 SHIELDS AVENUE",
"address_2": "219 NORTH HALL",
"city": "DAVIS",
"state": "CA",
"postal_code": "95616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SHIELDS AVENUE",
"address_2": "219 NORTH HALL",
"city": "DAVIS",
"state": "CA",
"postal_code": "95616",
"telephone_number": "530-752-1419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHI",
"first_name": "YUE",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-27",
"last_updated": "2021-08-27",
"certification_date": "2021-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "32812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.