MS. SHANNA ELISE BUTLER (NPI# 1710249180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710249180 |
| Entity Type | Individual |
| Full Name | MS. SHANNA ELISE BUTLER |
| Credential | MSW |
| Practice Address |
2712 Telegraph Ave. Pacific Center for Human Growth Berkeley CA 94602 |
| Practice Telephone | 5105488283 |
| Mailing Telephone | 5105488283 |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2012-06-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
2712 TELEGRAPH AVE. PACIFIC CENTER FOR HUMAN GROWTH |
| City | BERKELEY |
| State | CA |
| Zip Code | 94602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376151845 | Nicholas Collins Pac Lac Inc | Acupuncturist | 3433 Brunell Dr, Oakland, CA 94602 | 2020-07-21 |
| 1225667850 | Elaine Dellinger | Student in an Organized Health Care Education/Training Program | Highland Hospital 1411 East 31st Street, Qic 22123, Oakland, CA 94602 | 2020-04-06 |
| 1356804033 | Jayakala Lakireddy | Student in an Organized Health Care Education/Training Program | Dept of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2019-04-10 |
| 1750844585 | Kirea J Mazzolini | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2019-04-09 |
| 1912478587 | Joie Mazor | Chiropractor | 3201 Macarthur Blvd., Oakland, CA 94602 | 2018-12-07 |
| 1114424884 | Jesse Santos | Student in an Organized Health Care Education/Training Program | Dept. of Surgery, 1411 East 31st Street, Oakland, CA 94602 | 2018-04-10 |
| 1679078646 | Tia Vang | Student in an Organized Health Care Education/Training Program | 1411 E. 31st Street 2nd Flr A2, Oakland, CA 94602 | 2018-03-29 |
| 1942704101 | Michael Mian | Student in an Organized Health Care Education/Training Program | 1411 E 31st St, Qic 22123, Oakland, CA 94602 | 2018-03-22 |
| 1063916575 | Charisma Kaushik | Student in an Organized Health Care Education/Training Program | 1411 East 31st Street, Qic 22123, Oakland, CA 94602 | 2018-03-20 |
| 1841711363 | David Christopher Carroll | Pharmacist | 1411 E. 31st Street, Oakland, CA 94602 | 2017-07-06 |
| Find all providers in zip 94602 | ||||
| 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 |
| 1457619280 | Genesee Herzberg | Psychologist | 2811 College Ave Unit A, Berkeley, CA 94705-2167 | 2012-04-30 |
| Find all providers in BERKELEY | ||||
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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.