Paula Shryne

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

90884 Issued in CA

Practice address

2811 College Ave Unit a
Berkeley, CA 94705-2167

Phone

(510) 549-6886

NPI assigned

Mar 9, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 7, 2024 through Feb 7, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1427180249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 COLLEGE AVE UNIT A",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2811 COLLEGE AVE UNIT A",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052167",
            "telephone_number": "510-549-6886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRYNE",
        "first_name": "PAULA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "90884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "2811CollegeAve,BerkeleyCA94705",
            "affiliation": "N",
            "address_1": "2811 College Ave Unit A",
            "city": "Berkeley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "947052167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kelsey Shogren
• Matthew Sholler
• Alan D. Shonkoff, PH.D.
• Danielle Forastieri Short, AMFT # 138552
• Robin Terrell Shropshire
• Eva Shu, DACM, LAC
• Shuni Inc
• Erin Shuster, PNP
• Michelle Shute, MD
• Jane Altavas Sia-Flaherty, LCSW

• Marriage & Family Therapist in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.