Active NPI
Elizabeth M Shumaker, PH.D.
- Clinical Psychologist
- Santa Rosa, CA
National Provider Identifier
1669737003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS01331
- Practice address
- 3841 Brickway Blvd
Santa Rosa VA-Cboc
Santa Rosa, CA 95403-8226 - Phone
- (774) 826-3722
- NPI assigned
- Jul 11, 2012
- 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 | PS01331 | RI | Primary |
Addresses
Primary practice location
3841 Brickway Blvd
Santa Rosa VA-Cboc
Santa Rosa, CA 95403-8226
Mailing address
3841 Brickway Blvd
Santa Rosa VA-Cboc
Santa Rosa, CA 95403-8226
Phone (774) 826-3722
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS01331 | RI | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461196800000",
"number": "1669737003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3841 BRICKWAY BLVD",
"address_2": "SANTA ROSA VA-CBOC",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954038226",
"telephone_number": "774-826-3722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3841 BRICKWAY BLVD",
"address_2": "SANTA ROSA VA-CBOC",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954038226",
"telephone_number": "774-826-3722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHUMAKER",
"first_name": "ELIZABETH",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-11",
"last_updated": "2016-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "RI",
"license": "PS01331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.