Active NPI
Laurel Shiba, PHD
- Clinical Psychologist
- Kahului, HI
National Provider Identifier
1770964652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5340
- Practice address
- 203 Ho'Ohana Street
Kahului, HI 96732 - Phone
- (808) 873-3695
- NPI assigned
- Jun 16, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 | 5340 | CO | Primary |
Addresses
Primary practice location
203 Ho'Ohana Street
Kahului, HI 96732
Mailing address
1215 S Kihei Road
Suite O, Box 612
Kihei, HI 96753
Phone (970) 962-4900
Other practice location 1
815 Hyde St
San Francisco, CA 94109-5996
Phone (415) 673-5700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5340 | CO | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Veterans Affairs | Current | Accepting new patients |
Locations
5200 Hahns Peak Dr
Loveland, CO 80538
Phone (970) 962-4900
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.
-
- Licensed Practical Nurse
- Loveland, CO
- NPI 1942969712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766966400000",
"number": "1770964652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 S KIHEI ROAD",
"address_2": "SUITE O, BOX 612",
"city": "KIHEI",
"state": "HI",
"postal_code": "96753",
"telephone_number": "970-962-4900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 HO'OHANA STREET",
"city": "KAHULUI",
"state": "HI",
"postal_code": "96732",
"telephone_number": "808-873-3695"
}
],
"practiceLocations": [
{
"address_1": "815 Hyde St",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941095996",
"country_code": "US",
"telephone_number": "415-673-5700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHIBA",
"first_name": "LAUREL",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-16",
"last_updated": "2025-12-29",
"certification_date": "2025-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CO",
"license": "5340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kahului, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.