Individual provider Active NPI

Shilpa Kapoor

  • Clinical Psychologist
  • Dublin, CA
National Provider Identifier
1730313784
Registry record updated Apr 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY26333 Issued in CA
Practice address
7172 Regional St
Suite # 356
Dublin, CA 94568-2324
Phone
(925) 828-3795
NPI assigned
May 6, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY26333 CA Primary

Addresses

Primary practice location

7172 Regional St
Suite # 356
Dublin, CA 94568-2324

Mailing address

7172 Regional St
Suite # 356
Dublin, CA 94568-2324

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
I20140619000204 CA Practitioner - Clinical Psychologist 2769606409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2672 Bayshore Pkwy
Suite 1045
Mountain View, CA 94043-1015
Phone (650) 862-7320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY26333CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mind-Body Care, Inc. Clinical CurrentSince Sep 1, 2014 Accepting new patients

Locations

11740 Dublin Blvd
Ste 206
Dublin, CA 94568
Phone (408) 520-1002

7172 Regional St
Dublin, CA 94568
Phone (415) 215-6108

2672 Bayshore Pkwy
Ste 1045
Mountain View, CA 94043
Phone (650) 265-4288

825 San Antonio Rd
Ste 102
Palo Alto, CA 94303
Phone (408) 520-1002

6754 Bernal Ave
#740285
Pleasanton, CA 94566
Phone (650) 862-7320

Organizations & group practices 1

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": "1241568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398297600000",
    "number": "1730313784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7172 REGIONAL ST",
            "address_2": "SUITE # 356",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7172 REGIONAL ST",
            "address_2": "SUITE # 356",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682324",
            "telephone_number": "925-828-3795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPOOR",
        "first_name": "SHILPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-06",
        "last_updated": "2014-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY26333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, CA

Sources for this page

Verify at the official NPI Registry.