Sandy Shaw, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY18351 Issued in CA

Practice address

6540 Lusk Blvd Ste C256
San Diego, CA 92121-5795

Phone

(858) 657-9117

Fax

(858) 657-0251

NPI assigned

Jan 15, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Applied Interventions & Methodologies, Inc.

  • Local Education Agency (LEA)
  • San Diego, CA
  • NPI 1265633689
  NPD (past) Authorized official

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231977600000",
    "number": "1407093263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6540 LUSK BLVD STE C256",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921215795",
            "telephone_number": "858-657-9117",
            "fax_number": "858-657-0251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6540 LUSK BLVD STE C256",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921215795",
            "telephone_number": "858-657-9117",
            "fax_number": "858-657-0251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "SANDY",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY18351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Orondi Shaw
• Peter D Shaw, D.D.S.
• Rachel Shaw, PT, MPT
• Rebecca Hope Diann Shaw
• Samantha Ann Shaw, BA
• Sharmon Faye Shaw
• Shushila Shaw, DDS
• Susanna Janes Shaw
• Kimberlee Ann Shawcroft, RBT
• Evan Shawler

• Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.