Individual provider Active NPI

Brianna Staley Shumaker, PHD

  • Clinical Psychologist
  • Pasadena, CA
National Provider Identifier
1336548270
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
34123 Issued in CA
Practice address
65 N Raymond Ave Ste 330
Pasadena, CA 91103-3947
Phone
(626) 208-9426
NPI assigned
Aug 15, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 20043657A IN
Clinical Psychologist 103TC0700X 60931917 WA
Clinical Psychologist 103TC0700X 0810009203 VA
Clinical Psychologist 103TC0700X 34123 CA Primary

Addresses

Primary practice location

65 N Raymond Ave Ste 330
Pasadena, CA 91103-3947

Mailing address

65 N Raymond Ave Ste 330
Pasadena, CA 91103-3947
Phone (626) 208-9426

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
I20260204003714 CA Practitioner - Clinical Psychologist 1355820929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12531 Shafer PL
Sylmar, CA 91342-5723

65 N Raymond Ave
Suite 330
Pasadena, CA 91103-3947

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20043657AINMDClinical Psychologist
0810009203VAMDClinical Psychologist
60931917WAMDClinical Psychologist
34123CAMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Trivium Delta Psychology Group Professional Corporation CurrentSince Dec 13, 2025 Accepting new patients

Locations

960 E Green St
Ste 201
Pasadena, CA 91106
Phone (626) 796-8945

65 N Raymond Ave
Ste 330
Pasadena, CA 91103
Phone (323) 389-4619

Organizations & group practices 1

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": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1336548270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 N RAYMOND AVE STE 330",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911033947",
            "telephone_number": "626-208-9426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 N RAYMOND AVE STE 330",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911033947",
            "telephone_number": "626-208-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALEY SHUMAKER",
        "first_name": "BRIANNA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-15",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20043657A",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "60931917",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810009203",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "34123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.