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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TF0200X |
Psychologist Specialization: Forensic |
PSY 15079 | CA | Behavioral Health & Social Service Providers |
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 |
Street Address |
1600 CALIFORNIA DR |
City | VACAVILLE |
State | CA |
Zip Code | 95687 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 95687 |
Taxonomy Code | 103TF0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Forensic |
Definition to come... |
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 |
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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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.