SH Squared Cares

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY28777 Issued in CA

Legal business name

SH SQUARED CARES

Practice address

212 S Main St Ste 202
Templeton, CA 93465-9350

Phone

(058) 369-2239

NPI assigned

May 17, 2018

Last updated

Nov 4, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stacy Lynn Hutton, PHDNPI 1952737488

Title

Partner

Phone

(805) 369-2239

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stacy Lynn Hutton, PH.D.

  • Counseling Psychologist
  • Templeton, CA
  • NPI 1952737488
  Medicare reassignment Care Compare group NPD Authorized official
• Simone Kerstin Huls, PHD, CF-SLP

  • Speech-Language Pathologist
  • Atascadero, CA
  • NPI 1104360262
  Medicare reassignment Care Compare group NPD
• Brad Thomas Barcklay, PSY.D.

  • Clinical Psychologist
  • Atascadero, CA
  • NPI 1366721151
  NPD (past)
• Masood Moghaddam, MSW

  • Clinical Social Worker
  • Atascadero, CA
  • NPI 1710342126
  NPD (past)

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635984000000",
    "number": "1245720960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 S MAIN ST STE 202",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934659350",
            "telephone_number": "058-369-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 S MAIN ST STE 202",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934659350",
            "telephone_number": "058-369-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SH SQUARED CARES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-17",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A",
        "authorized_official_last_name": "HUTTON",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "805-369-2239",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY28777",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP25805",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Javad Najafi Sani, M.D.
• Sanjay R. Ganpule, MD
• Marci Saporita
• Mary Christine Schaff, N.P.
• Seneca Family of Agencies (Kinship Center SLO Family Ties)
• Asad A. Shah, M.D.
• Kenneth L. Shapiro, M.D.
• Anthony William Sheplay, MD
• Denise Favreau Shipley, PTA
• Adriana Velez Shofner, RNFA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.