Active NPI
Lois Shawver, PH.D.
- Psychologist
- Oakland, CA
National Provider Identifier
1609059013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY4818
- Practice address
- 385 Bellevue Ave.
Oakland, CA 94610 - Phone
- (510) 763-0622
- Fax
- (510) 835-4056
- NPI assigned
- Dec 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY4818 | CA | Primary |
Addresses
Primary practice location
385 Bellevue Ave.
Oakland, CA 94610
Mailing address
385 Bellevue Ave.
Oakland, CA 94610
Phone (510) 763-0622
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY4818 | CA | MD | Psychologist |
| 4818 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196985600000",
"number": "1609059013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "385 BELLEVUE AVE.",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94610",
"telephone_number": "510-763-0622",
"fax_number": "510-835-4056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "385 BELLEVUE AVE.",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94610",
"telephone_number": "510-763-0622",
"fax_number": "510-835-4056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAWVER",
"first_name": "LOIS",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-12-07",
"last_updated": "2007-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY4818",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.