NPIMap

Individual provider Active NPI

Tong-an Shueh, PH.D.

  • Psychologist
  • Santee, CA
National Provider Identifier
1265037907
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
32950 Issued in CA
Practice address
9008 Trailridge Ave
Santee, CA 92071-2048
Phone
(352) 577-5277
NPI assigned
Dec 1, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy Psychologist 103TP2701X 32950 CA
Group Psychotherapy Psychologist 103TP2701X P.7398 OH
Psychologist 103T00000X P.7398 OH
Counseling Psychologist 103TC1900X 32950 CA
Counseling Psychologist 103TC1900X P.7398 OH
Psychologist 103T00000X 32950 CA Primary

Addresses

Primary practice location

9008 Trailridge Ave
Santee, CA 92071-2048

Mailing address

9008 Trailridge Ave
Santee, CA 92071-2048
Phone (352) 577-5277

Other practice location 1

UCSD Counseling and Psychological Services
9500 Gilman Dr., MC0304
La Jolla, CA 92093-0304
Phone (858) 534-3755

Other names 1

  • Dr. Fred Shueh Other name

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

LicenseStateTypeSpecialty
P.7398OHMDPsychologist
32950CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1265037907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9008 TRAILRIDGE AVE",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920712048",
            "telephone_number": "352-577-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9008 TRAILRIDGE AVE",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920712048",
            "telephone_number": "352-577-5277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "UCSD Counseling and Psychological Services",
            "address_2": "9500 Gilman Dr., MC0304",
            "address_purpose": "LOCATION",
            "city": "La Jolla",
            "state": "CA",
            "postal_code": "920930304",
            "country_code": "US",
            "telephone_number": "858-534-3755",
            "fax_number": "858-534-2628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHUEH",
        "first_name": "TONG-AN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-01",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "CA",
            "license": "32950",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "OH",
            "license": "P.7398",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "P.7398",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "32950",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "OH",
            "license": "P.7398",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "32950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FRED",
            "last_name": "SHUEH",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; 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.