David Shaw, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT 12943 Issued in CA

Practice address

303 41St St
Richmond, CA 94805-2221

Phone

(510) 374-7212

Fax

(510) 374-3857

NPI assigned

Dec 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Opted out of Medicare

Yes, effective Jun 24, 2024 through Jun 24, 2028

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Contra Costa County Health Services

  • Clinical Psychologist
  • Richmond, CA
  • NPI 1164575940
  NPD (past)

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922169507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 41ST ST",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948052221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 41ST ST",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948052221",
            "telephone_number": "510-374-7212",
            "fax_number": "510-374-3857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT 12943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Shadi
• Ruby Shaich
• William H. Shalen, MD
• Gary Evan Shaller, PH.D.
• Ruby Shapiro, OTD, OTR/L
• Ronald D Shaw
• Kanika Lynn Shelly, LMFT123786
• Kay Tak Shen, D.M.D.
• Levy Jiao-Jue Sheng
• Surendra T. Shenoy, MD

• Marriage & Family Therapist in Richmond, CA
• Providers in Richmond, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.