John Shen, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

21811 Issued in CA

Practice address

536 Skiff Cir
Redwood City, CA 94065-1142

Phone

(650) 802-8195

Fax

(650) 802-8195

NPI assigned

Jan 6, 2006

Last updated

May 28, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Chinese Hospital Association

  • Multi-Specialty Clinic/Center
  • San Francisco, CA
  • NPI 1164458402
  NPD (past)
• North Coast Mental Health Associates Inc.

  • Prescribing (Medical) Psychologist
  • Beachwood, OH
  • NPI 1033219225
  NPD (past)

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275004800000",
    "number": "1992783112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7256",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940707256",
            "telephone_number": "650-465-8691",
            "fax_number": "650-802-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 SKIFF CIR",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940651142",
            "telephone_number": "650-802-8195",
            "fax_number": "650-802-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEN",
        "first_name": "JOHN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2010-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "21811",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3245",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shervin Shariati, DDS
• Brian Anthony Sharkey
• Lori Pignati Shaw, PA
• Dennis J. Sheehan, M.D.
• Helen Shen
• Stella Shen
• Karen Sheng, CNS
• Lucia Shepherd, CD(DONA)
• William F. Sheridan, MD
• Kelly Sherlock

• Clinical Psychologist in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; 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.