DR. CHEHRZAD SHADMAN (NPI# 1366065260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366065260 |
| Entity Type | Individual |
| Full Name | DR. CHEHRZAD SHADMAN |
| Credential | PSYD |
| Practice Address |
1749 Martin Luther King Jr Way Berkeley CA 94709-2139 |
| Mailing Address |
535 Leavenworth St Apt 44 San Francisco CA 94109-7562 |
| Practice Telephone | 5108418484 |
| Mailing Telephone | 4158478739 |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2020-05-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
1749 MARTIN LUTHER KING JR WAY |
| City | BERKELEY |
| State | CA |
| Zip Code | 94709-2139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003850421 | John George Rosenberg | Psychiatry & Neurology | 1749 Martin Luther King Jr Way, Berkeley, CA 94709-2139 | 2006-06-15 |
| 1568989507 | Eric Pierson | Psychologist | 1749 Martin Luther King Jr Way, Berkeley, CA 94709-2139 | 2017-08-29 |
| 1164868444 | Sarah Mullin | Psychologist | 1749 Martin Luther King Jr Way, Berkeley, CA 94709-2139 | 2013-05-14 |
| 1972816700 | Jennifer Joy Kelly | Psychologist | 1749 Martin Luther King Jr Way, Berkeley, CA 94709-2139 | 2010-07-21 |
| 1215197918 | Claramarie Cottrell Collins | Psychologist | 1749 Martin Luther King Jr Way, Berkeley, CA 94709-2139 | 2008-06-16 |
| 1114126323 | Renee J Talmon | Psychologist | 1749 Martin Luther King Jr Way, Berkeley, CA 94709-2139 | 2007-07-17 |
| 1972646826 | Amy Catherine Thomson | Nurse Practitioner | 1749 Martin Luther King Jr Way, Berkeley, CA 94709-2139 | 2007-02-14 |
| 1104963255 | Bonnie Kahane | Psychologist | 1749 Martin Luther King Jr Way, Berkeley, CA 94709-2139 | 2007-01-30 |
| 1316084460 | Richard Dailey | Psychologist | 1749 Martin Luther King Jr Way, Berkeley, CA 94709-2139 | 2007-01-30 |
| 1598819526 | Steven M Walch | Psychologist | 1749 Martin Luther King Jr Way, Berkeley, CA 94709-2139 | 2007-01-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144868647 | Komalpreet Kaur | Pharmacist | 1444 Shattuck Place, Berkeley, CA 94709 | 2019-12-16 |
| 1689189763 | Lynn Rubin | Marriage & Family Therapist | 1524 Henry St., Berkeley, CA 94709 | 2017-12-11 |
| 1750825154 | Stacy Taniguchi | Psychologist | 2000 Hearst Ave Ste 207, Berkeley, CA 94709 | 2016-12-05 |
| 1558804708 | Tylynn Ludwig | Dietitian, Registered | 1525 Shattuck Ave Ste G, Berkeley, CA 94709 | 2016-11-21 |
| 1528316171 | Leeat Zwick-louvton | Physical Therapist | 2209 Glen Ave, Berkeley, CA 94709 | 2012-08-29 |
| 1497016588 | City of Berkeley | Case Management | 1901 Hearst Street, Berkeley, CA 94709 | 2012-06-05 |
| 1841591914 | Dana Carr | Psychologist | 1078 Shattuck Avenue, #6, Berkeley, CA 94709 | 2010-11-05 |
| 1568639565 | Harry Joseph Lieberman | Marriage & Family Therapist | 1933 Rose St, Berkeley, CA 94709 | 2008-05-09 |
| 1780806935 | Martha W Knobler | Marriage & Family Therapist | 2045 Francisco Street, Berkeley, CA 94709 | 2007-05-03 |
| 1578690830 | Alice H Brown | Counselor | 1607 Walnut Street # One, Berkeley, CA 94709 | 2007-02-27 |
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| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770192452 | Being Integrative Clinical Solutions, LLC | Psychologist | 2999 Regent St Ste 300a, Berkeley, CA 94705-2149 | 2020-07-28 |
| 1346716172 | Megan Carlos, Ph.d., A Psychology Corporation | Psychologist | 1760 Solano Ave Ste 300, Berkeley, CA 94707-2218 | 2018-10-19 |
| 1316435886 | Partnerships for Trauma Recovery | Psychologist | 1936 University Ave Ste 191, Berkeley, CA 94704-1000 | 2018-04-30 |
| 1114468311 | Lisa Lancaster | Psychologist | 3148 Lewiston Ave, Berkeley, CA 94705-2717 | 2017-03-20 |
| 1588011621 | Allison Krieger | Psychologist | 1322 Alcatraz Ave, Berkeley, CA 94702-2606 | 2016-05-18 |
| 1912364720 | Justin Castello | Psychologist | 2222 Bancroft Way # Mc4300, Berkeley, CA 94720-4301 | 2016-01-25 |
| 1588020382 | Ryan Adams | Psychologist | 3120 Telegraph Ave Ste 8, Berkeley, CA 94705-1965 | 2016-01-08 |
| 1942553540 | Joseph Choy | Psychologist | 2299 Piedmont Ave, 359, Berkeley, CA 94720-2392 | 2012-10-19 |
| 1982951406 | Pooja Sharma | Psychologist | 3101 Telegraph Ave Ofc 1, Berkeley, CA 94705-1984 | 2012-08-15 |
| 1710249180 | Shanna Elise Butler | Psychologist | 2712 Telegraph Ave., Pacific Center for Human Growth, Berkeley, CA 94602 | 2012-06-12 |
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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.