Shauna Jean Stott, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY9354 Issued in CA

Practice address

220 Country Club Gate Ctr
Suite 16
Pacific Grove, CA 93950-5014

Phone

(831) 646-1873

Fax

(831) 372-3587

NPI assigned

May 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282262400000",
    "number": "1366489577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 COUNTRY CLUB GATE CTR",
            "address_2": "SUITE 16",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939505014",
            "telephone_number": "831-646-1873",
            "fax_number": "831-372-3587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 COUNTRY CLUB GATE CTR",
            "address_2": "SUITE 16",
            "city": "PACIFIC GROVE",
            "state": "CA",
            "postal_code": "939505014",
            "telephone_number": "831-646-1873",
            "fax_number": "831-372-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOTT",
        "first_name": "SHAUNA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2010-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY9354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Steffen, D.P.M.
• Tod Michael Steffenilla, MPT
• Lola S Steinbaum, M.D.
• July Reverie Stewart, LE
• Tamara Hardcastle Stickler, LCSW
• Robert Swanson, PHD
• Patricia Ann Talbert, MA, PSY.D
• Jacob John Taylor, PHARMD
• Terra Alchemia LLC
• Katelyn Thorup

• Clinical Psychologist in Pacific Grove, CA
• Providers in Pacific Grove, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.