Maytal Shalev-Eylath

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY30994 Issued in CA

Practice address

1000 Fremont Ave Ste 140
Los Altos, CA 94024-6009

Phone

(650) 283-3701

NPI assigned

Sep 14, 2013

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Community Institute for Psychotherapy

  • Voluntary or Charitable Agency
  • San Rafael, CA
  • NPI 1760403794
  NPD (past)
• Community Institute for Psychotherapy

  • Community/Behavioral Health Agency
  • San Rafael, CA
  • NPI 1780995258
  NPD (past)
• LGTC Group

  • Marriage & Family Therapist
  • San Jose, CA
  • NPI 1881482941
  NPD (past)

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

{
    "created_epoch": "1379116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1780010314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 HOFFMAN TER",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940246614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 FREMONT AVE STE 140",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940246009",
            "telephone_number": "650-283-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHALEV-EYLATH",
        "first_name": "MAYTAL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-14",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY30994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shadduck - Physical Therapy Works Inc
• Kristin Tyse Shadduck, PT
• Nidhi Malav Shah
• Sagar Vinod Shah, D.D.S.
• Natalie Shahar, LMFT
• Yihsin Megan Shang, R.PH.
• Jerrold Lee Shapiro, PH.D.
• Ilana Sharaun, M.F.T
• Barbara Jean Shea, PH.D.
• Ella Shechtman-Cory, PH.D.

• Clinical Psychologist in Los Altos, CA
• Providers in Los Altos, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.