Active NPI
Shawn V Giammattei, PH.D
- Family Psychologist
- Santa Rosa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Psychologist
- License
- PSY 22570
- Practice address
- 1049 4TH St
Suite G
Santa Rosa, CA 95404-4303 - Phone
- (415) 722-7134
- NPI assigned
- Sep 17, 2008
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 22570 | CA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSY 22570 | CA | |
| Cognitive & Behavioral Psychologist | 103TB0200X | PSY 22570 | CA | |
| Family Psychologist | 103TF0000X | PSY 22570 | CA | Primary |
| Adult Development & Aging Psychologist | 103TA0700X | PSY 22570 | CA | |
| Group Psychotherapy Psychologist | 103TP2701X | PSY 22570 | CA | |
| Psychologist | 103T00000X | PSY 22570 | CA |
Addresses
Primary practice location
1049 4TH St
Suite G
Santa Rosa, CA 95404-4303
Mailing address
2014 10TH Ave
San Francisco, CA 94116-1303
Phone (415) 722-7134
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 22570 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of California San Francisco | Current | Accepting new patients | |
| Quest Family Psychotherapy, PC | Psychologist | Current | Accepting new patients |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| UCSF Medical Group Business Services | Current | Accepting new patients | |
| University of California San Francisco | Current | Accepting new patients | |
| UCSF Pediatrics Associates | Current | Accepting new patients |
Locations
3100 San Pablo Ave
Berkeley, CA 94702
Phone (510) 985-5020
2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444
505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058
2001 The Embarcadero
Ste 1500
San Francisco, CA 94143
Phone (415) 353-1606
1825 4th St
Fl 6
San Francisco, CA 94143
Phone (415) 353-7337
400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000
1049 4th St
Ste G
Santa Rosa, CA 95404
Phone (707) 579-9457
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1477624104
-
- Pediatrics Physician
- San Francisco, CA
- NPI 1376614016
-
- Pediatrics Physician
- San Francisco, CA
- NPI 1861578973
-
- Psychologist
- San Francisco, CA
- NPI 1083310478
-
- Health Service Clinic/Center
- San Francisco, CA
- NPI 1194115246
-
- Community/Retail Pharmacy
- San Francisco, CA
- NPI 1659141711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1448064000000",
"number": "1255580973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2014 10TH AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941161303",
"telephone_number": "415-722-7134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1049 4TH ST",
"address_2": "SUITE G",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954044303",
"telephone_number": "415-722-7134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIAMMATTEI",
"first_name": "SHAWN",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-09-17",
"last_updated": "2015-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 22570",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "PSY 22570",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "CA",
"license": "PSY 22570",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "CA",
"license": "PSY 22570",
"primary": true
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "CA",
"license": "PSY 22570",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "CA",
"license": "PSY 22570",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY 22570",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2015; 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.