NPIMap

Organization Active NPI

Psych Strategies Inc a Psychological Corp

Doing business as PsychStrategies

  • Psychologist
  • Santa Rosa, CA
National Provider Identifier
1699775411
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
PSYCH STRATEGIES INC A PSYCHOLOGICAL CORP
Doing business as
PsychStrategies
Practice address
1160 N Dutton Ave
Suite 230
Santa Rosa, CA 95401-4600
Phone
(707) 303-3201
Fax
(707) 526-8310
NPI assigned
Jul 22, 2005
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Ms. Shannon Sweeney Lewis
Title
General Manager
Phone
(707) 303-3201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X CA Primary

Addresses

Primary practice location

1160 N Dutton Ave
Suite 230
Santa Rosa, CA 95401-4600

Mailing address

1160 N Dutton Ave
Suite 230
Santa Rosa, CA 95401-4600
Phone (707) 303-3201

Other practice location 1

1301 Redwood Way Ste 110
Petaluma, CA 94954-1136
Phone (707) 303-3201

Other names 1

  • PsychStrategies Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040210001132 CA Part B Supplier - Clinic/Group Practice 0446144497 Receives reassigned benefits from 32 practitioners
Practice locations: Petaluma, CA; Santa Rosa, CA

National Provider Directory

National Provider Directory

Locations

1301 Redwood Way
Ste 110
Petaluma, CA 94954
Phone (707) 303-3201

24 Western Ave
Ste 100
Petaluma, CA 94952
Phone (707) 776-0945

1160 N Dutton Ave
Ste 230
Santa Rosa, CA 95401
Phone (707) 303-3201

659 Cherry St
Santa Rosa, CA 95404
Phone (707) 526-8300

435 Petaluma Ave
Ste 140
Sebastopol, CA 95472
Phone (707) 823-9950

Practitioners & affiliated clinicians

Practitioners 62

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 62

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1699775411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 N DUTTON AVE",
            "address_2": "SUITE 230",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014600",
            "telephone_number": "707-303-3201",
            "fax_number": "707-526-8310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 N DUTTON AVE",
            "address_2": "SUITE 230",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014600",
            "telephone_number": "707-303-3201",
            "fax_number": "707-526-8310"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Redwood Way Ste 110",
            "address_purpose": "LOCATION",
            "city": "Petaluma",
            "state": "CA",
            "postal_code": "949541136",
            "country_code": "US",
            "telephone_number": "707-303-3201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PSYCH STRATEGIES INC A PSYCHOLOGICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "SWEENEY",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "707-303-3201",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PsychStrategies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.