MARK M. SHAW


Address: 1600 California Dr, Vacaville, CA 95687
Phone: 7074496504

MARK M. SHAW (NPI# 1154556918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154556918
Entity Type Individual
Full Name MARK M. SHAW
Credential PH.D.
Practice Address 1600 California Dr
Vacaville
CA 95687
Mailing Address Po Box 9811
Berkeley
CA 94709-0811
Practice Telephone 7074496504
Practice Fax Number 7074537047
Enumeration Date 2009-05-22
Last Update Date 2009-05-22
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TF0200X Psychologist
Specialization: Forensic
PSY 15079 CA Behavioral Health & Social Service Providers

Other Providers MARK SHAW

NPI Name Taxonomy Address Enumeration
1588171557 Mark Shaw Social Worker 5640 Teakwood Dr, Dalzell, SC 29040-9652 2017-12-29
1245646637 Mark Shaw Dentist 15 Gosnell Xing, Staunton, VA 24401-6297 2014-07-07
1831202068 Mark Alan Shaw Dentist 2062 College Ave, Elmira Heights, NY 14903-1651 2006-08-15
1689608127 Mark R Shaw Emergency Medicine 120 Radnor Rd, Ste 100, State College, PA 16801 2006-07-10
1952330433 Mark Allen Shaw Dentist 113 Curry Hollow Rd, Suite 102, Pleasant Hills, PA 15236-4600 2006-06-30
1538143383 Mark R Shaw Radiology 3310 Aspen Grove Dr, Suite 203, Franklin, TN 37067 2005-12-05
1295296903 Mark M Shaw Social Worker 2495 Elmwood Ave, Kenmore, NY 14217-2222 2019-03-26
1639462013 Mark A Shaw Hearing Instrument Specialist 925 E Pennsylvania Avenue, Suite H, Escondido, CA 92025 2011-05-18
1285954784 Mark A Shaw Pharmacist 40 Watkins St, Nelsonville, OH 45764 2010-06-07
1841216744 Mark E Shaw Social Worker 1836 South Ave, La Crosse, WI 54601-5429 2006-07-14

Office Location

Street Address 1600 CALIFORNIA DR
City VACAVILLE
State CA
Zip Code 95687

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164497046 Mary M. Zhu General Practice 1600 California Dr, Vacaville, CA 95687 2006-02-22
1164960910 Levon Vang Pharmacist 1600 California Dr, Vacaville, CA 95696 2017-02-01
1124574348 Bailey Ellen Glaves Psychologist 1600 California Dr, Vacaville, CA 95687 2016-08-28
1790132264 Samantha Lynn Meyer Counselor 1600 California Dr, Vacaville, CA 95696 2016-05-15
1962844068 Theresa Gail Solomon Social Worker 1600 California Dr, Vacaville, CA 95696 2013-07-18
1174961957 Jennifer S Lucas Social Worker 1600 California Dr, Vacaville, CA 95687 2013-06-13
1487092912 Michael Vincent Ponce Social Worker 1600 California Dr, Vacaville, CA 95687 2013-06-06
1487992921 Sam Cooc Social Worker 1600 California Dr, Vacaville, CA 95696 2013-01-17
1457606428 John N. Roberts Psychologist 1600 California Dr, Vacaville, CA 95696 2012-07-17
1790056919 Candice Joy-silverio Suratos Pharmacist 1600 California Dr, Vacaville, CA 95696 2012-01-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992311815 Azul Center for Integration Community/Behavioral Health 186 Isle Royal Circle, Vacaville, CA 95687 2020-09-16
1740813062 Adenike C. Ogunleye Nurse Practitioner California Medical Facility, 1600, California Drive, Fairfield, CA 95687 2020-02-14
1972165249 Jean Callaghan-hoskins Behavior Technician 614 Harvard Ave, Vacaville, CA 95687 2019-07-08
1508338054 Integrative Foot and Ankle Center Durable Medical Equipment & Medical Supplies 600 Nut Tree Rd Ste 210, Vacaville, CA 95687 2018-12-21
1164930640 Alicia Nicole Gambetti Family Medicine 241 Nut Tree Rd., Vacaville, CA 95687 2018-01-18
1437564051 Errie D. Bohanon Social Worker 1600 California St, Vacaville, CA 95687 2014-06-23
1467715177 Patrick Fisher Urology 770 Mason Sst, Vacaville, CA 95687 2012-06-18
1285991968 Tshering Wangmo Bhutia Psychiatry & Neurology 1600 California Drive, Department of Corrections & Reha, California Medicine Family, Psychiatry, Inpatient Progr, Vacaville, CA 95687 2012-04-18
1043589294 Mantena and Ghazal Dental Corporation Dentist 110 Nut Tree Parkway, Vacaville, CA 95687 2011-12-16
1346527074 Jason Michael Vojkufka Physical Therapist 585 Nut Tree Court, Vacaville, CA 95687 2011-11-09
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Taxonomy Information

Taxonomy Code 103TF0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Forensic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477900645 Christopher Padalinski Psychologist 1600 California Drive, Vacaville, CA 95696 2016-05-18
1467704197 William Clay Foreman Psychologist 2100 Peabody Rd, Vacaville, CA 95687-6639 2012-10-04

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1962049130 Ashley Cohen Psychologist 320 Linda Dr, Hollister, CA 95023-6646 2019-12-05
1174185540 Daisy Covarrubias Psychologist 9727 Diana Ave, Riverside, CA 92503-4281 2019-07-05
1538620786 San Diego Forensic Psychology Corporation Psychologist 4640 Cass Street, # 90422, San Diego, CA 92109 2019-03-29
1982169587 Jocelyn Roland Psychologist 2937 Veneman Ave Ste B125, Modesto, CA 95356-0690 2019-02-07
1265997936 Shanda Angioli Psychologist 4640 Cass St # 90422, San Diego, CA 92109-2804 2019-02-06
1841755626 Brianna Marie Alcantar Psychologist 855 E Laurel Dr Bldg H, Salinas, CA 93905-1300 2019-02-05
1316423692 Millie Georganna Herrera Psychologist 4001 State Higheay 104, Ione, CA 95640 2018-07-19
1003308446 Kiara Dixon Psychologist 15501 San Pablo Ave # G-317, Richmond, CA 94806-5848 2018-06-01
1700322633 Lindsay Heber Psychologist 28204 Picadilly Pl, Castaic, CA 91384-3830 2017-01-17
1295193738 Schuyler Weifu Liao Psychologist 2576 W San Ramon Ave, Fresno, CA 93711-2749 2016-01-28
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Competitor

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City VACAVILLE
Zip Code 95687

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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