Active NPI
Shruti Shah
- Clinical Psychologist
- Tacoma, WA
National Provider Identifier
1487041901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY60521594
- Practice address
- 9600 Veterans Dr SW
A-123-HBPC
Tacoma, WA 98493-0003 - Phone
- (253) 583-3195
- NPI assigned
- Apr 22, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY60521594 | WA | Primary |
Addresses
Primary practice location
9600 Veterans Dr SW
A-123-HBPC
Tacoma, WA 98493-0003
Mailing address
9600 Veterans Dr SW
A-123-HBPC
Tacoma, WA 98493-0003
Phone (253) 583-3195
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PY60521594 | WA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429660800000",
"number": "1487041901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9600 VETERANS DR SW",
"address_2": "A-123-HBPC",
"city": "TACOMA",
"state": "WA",
"postal_code": "984930003",
"telephone_number": "253-583-3195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9600 VETERANS DR SW",
"address_2": "A-123-HBPC",
"city": "TACOMA",
"state": "WA",
"postal_code": "984930003",
"telephone_number": "253-583-3195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAH",
"first_name": "SHRUTI",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-22",
"last_updated": "2015-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "WA",
"license": "PY60521594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.