Chehrzad Shadman, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

1749 Martin Luther King Jr Way
Berkeley, CA 94709-2139

Phone

(510) 841-8484

NPI assigned

May 26, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Berkeley Therapy Institute

  • Psychiatry Physician
  • Berkeley, CA
  • NPI 1255497814
  NPD (past)

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1366065260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 LEAVENWORTH ST APT 44",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941097562",
            "telephone_number": "415-847-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1749 MARTIN LUTHER KING JR WAY",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947092139",
            "telephone_number": "510-841-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADMAN",
        "first_name": "CHEHRZAD",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-26",
        "last_updated": "2023-11-27",
        "certification_date": "2020-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chehrzadshadman@bti.org",
            "affiliation": "Y",
            "endpointDescription": "Work Email",
            "affiliationName": "Berkeley Therapy Institute",
            "address_1": "1749 Martin Luther King Jr Way",
            "city": "Berkeley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "947092139",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angela Severn
• Meryl Alexis Seward, DOULA
• Lynne Z Sgambati, MFT
• Aamina Shabeer, MA
• David R Shaddock, MFT
• Farnaz Shadravan, D.D.S.
• Gail Shafarman, PHD
• Amy B Shaffer, MFT
• Savina Renee Shaffer, BA
• Anna Shafovaloff, M.S., B.C.B.A

• Psychologist in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.