Individual provider Active NPI

Shawn V Giammattei, PH.D

  • Family Psychologist
  • Santa Rosa, CA
National Provider Identifier
1255580973
Registry record updated Nov 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family PsychologistTaxonomy code 103TF0000X
License
PSY 22570 Issued in CA
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

Updated by the provider on Nov 21, 2015

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240514002566 CA Practitioner - Clinical Psychologist 3274974878 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY 22570CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Apr 29, 2024 Accepting new patients
Quest Family Psychotherapy, PC Psychologist CurrentSince Feb 12, 2023 Accepting new patients
UCSF Medical Group Business Services CurrentSince Apr 29, 2024 Accepting new patients
UCSF Medical Group Business Services CurrentSince Apr 29, 2024 Accepting new patients
University of California San Francisco CurrentSince Apr 29, 2024 Accepting new patients
UCSF Pediatrics Associates CurrentSince Apr 29, 2024 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.

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

Verify at the official NPI Registry.