Individual provider Active NPI

Shauna L Papenbrook, PHD

  • Clinical Psychologist
  • Agoura Hills, CA
National Provider Identifier
1780165860
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY33385 Issued in CA
Practice address
5012 Chesebro Rd Ste 200
Agoura Hills, CA 91301-2287
Phone
(925) 282-1778
Fax
(415) 296-5299
NPI assigned
Aug 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY33385 CA Primary
Clinical Psychologist 103TC0700X LP5976 MN

Addresses

Primary practice location

5012 Chesebro Rd Ste 200
Agoura Hills, CA 91301-2287

Mailing address

5012 Chesebro Rd Ste 200
Agoura Hills, CA 91301-2287
Phone (925) 282-1778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY33385CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Coast Psychology Group, Inc. Clinical CurrentSince Jun 3, 2022 Accepting new patients
Pacific Coast Psychiatric Associates Inc Clinical CurrentSince Sep 1, 2026 Accepting new patients

Locations

5012 Chesebro Rd
Ste 200
Agoura Hills, CA 91301
Phone (614) 943-0819

1611 Height St
Bakersfield, CA 93305
Phone (661) 748-1300

4900 California Ave
Fl 2
Bakersfield, CA 93309
Phone (510) 722-5630

31356 Via Colinas
Ste 114
Westlake Village, CA 91362
Phone (805) 622-7778

31194 La Baya Dr
Ste 100
Westlake Village, CA 91362
Phone (805) 242-2429

1014 S Westlake Blvd
Ste 14243
Westlake Vlg, CA 91361

Organizations & group practices 2

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": "1535328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1780165860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5012 CHESEBRO RD STE 200",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913012287",
            "telephone_number": "925-282-1778",
            "fax_number": "415-296-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5012 CHESEBRO RD STE 200",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913012287",
            "telephone_number": "925-282-1778",
            "fax_number": "415-296-5299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPENBROOK",
        "first_name": "SHAUNA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-27",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY33385",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP5976",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Agoura Hills, CA

Sources for this page

Verify at the official NPI Registry.