Individual provider Active NPI

Shufang Tsai, PSYD

  • Mental Health Counselor
  • Piedmont, CA
National Provider Identifier
1629276332
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
RPS2006028 Issued in CA
Practice address
1250 Grand Ave
Piedmont, CA 94610-1002
Phone
(510) 655-7880
Fax
(510) 655-3379
NPI assigned
Jul 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X RPS2006028 CA Primary

Addresses

Primary practice location

1250 Grand Ave
Piedmont, CA 94610-1002

Mailing address

1250 Grand Ave
Piedmont, CA 94610-1002
Phone (510) 655-7880

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20140528000849 CA Practitioner - Clinical Psychologist 9739302449 Reassigns benefits to 1 organization
Practice locations: Berkeley, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RPS2006028CAMDMental Health Counselor
22692CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Shufang Tsai Psychologist, Inc CurrentSince Aug 22, 2023 Accepting new patients
Ann Martin Center Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629276332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 GRAND AVE",
            "city": "PIEDMONT",
            "state": "CA",
            "postal_code": "946101002",
            "telephone_number": "510-655-7880",
            "fax_number": "510-655-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 GRAND AVE",
            "city": "PIEDMONT",
            "state": "CA",
            "postal_code": "946101002",
            "telephone_number": "510-655-7880",
            "fax_number": "510-655-3379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSAI",
        "first_name": "SHUFANG",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "RPS2006028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Piedmont, CA

Sources for this page

Verify at the official NPI Registry.