Najuma Zakiya Shurn, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

27577 Issued in CA

Practice address

1271 Washington Ave # 445
San Leandro, CA 94577-3646

Phone

(510) 610-9360

Fax

(510) 969-7932

NPI assigned

Sep 14, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1730412313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8617 SENECA ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946054009",
            "telephone_number": "510-610-9360",
            "fax_number": "510-969-7932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1271 WASHINGTON AVE # 445",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945773646",
            "telephone_number": "510-610-9360",
            "fax_number": "510-969-7932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHURN",
        "first_name": "NAJUMA",
        "middle_name": "ZAKIYA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-14",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "27577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asaf Shor, M.D.
• Marjorie Shore
• Deborah Louise Short, M.S. CCC-SLP
• David Shoup
• Jonathan Michael Shugart, B.S.
• Sara Shushtarian, MD
• Jessica Lauren Shussett
• Terisa Siagatonu
• Gail Denise Sibley, BSN
• Jose Demetrio Sic Cua, LMFT

• Clinical Psychologist in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.