DR. SHANNON ELYSE STOVALL (NPI# 1861705188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861705188 |
| Entity Type | Individual |
| Full Name | DR. SHANNON ELYSE STOVALL |
| Credential | LPC, PSYD |
| Practice Address |
39465 Paseo Padre Pkwy Suite 2100 Fremont CA 94538-5350 |
| Practice Telephone | 5107459151 |
| Mailing Telephone | 2105424616 |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2014-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
64885 | TX | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 26755 | CA | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
26755 | CA | Behavioral Health & Social Service Providers |
| Street Address |
39465 PASEO PADRE PKWY SUITE 2100 |
| City | FREMONT |
| State | CA |
| Zip Code | 94538-5350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447241302 | Inview Imaging Medical Corporation | Radiology | 39465 Paseo Padre Pkwy, Suite 1000, Fremont, CA 94538-5347 | 2005-10-31 |
| 1629593611 | Marwa Assar | Psychologist | 39465 Paseo Padre Pkwy, Fremont, CA 94538-5350 | 2017-08-10 |
| 1699217125 | Karly Quinn Link | Counselor | 39465 Paseo Padre Pkwy, Fremont, CA 94538-5350 | 2016-11-15 |
| 1447701677 | Pooja Rupani | Psychologist | 39465 Paseo Padre Pkwy, Ste 2100, Fremont, CA 94538 | 2016-10-24 |
| 1962951624 | Ali Koochek | Student in an Organized Health Care Education/Training Program | 39465 Paseo Padre Pkwy, St 2100, Fremont, CA 94538-5350 | 2016-09-22 |
| 1326593609 | Danielle Kolen | Student in an Organized Health Care Education/Training Program | 39465 Paseo Padre Pkwy, #2100, Fremont, CA 94538-5350 | 2016-08-17 |
| 1174975502 | Jodie Statham | Student in an Organized Health Care Education/Training Program | 39465 Paseo Padre Pkwy, Suite 2100, Fremont, CA 94538-5350 | 2016-07-09 |
| 1003268509 | Elise Koepke | Student in an Organized Health Care Education/Training Program | 39465 Paseo Padre Pkwy, Suite 2100, Fremont, CA 94538-5350 | 2016-07-07 |
| 1518322908 | Fnu Adhithi Rajan | Student in an Organized Health Care Education/Training Program | 39465 Paseo Padre Pkwy, Suite 2100, Fremont, CA 94538-5350 | 2015-12-29 |
| 1871969204 | Ryan Cuffee-ansarra | Student in an Organized Health Care Education/Training Program | 39465 Paseo Padre Pkwy, Fremont, CA 94538-5350 | 2015-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394460 | Bay Area Kidney Care Medical Group Inc. | Clinic/Center | 39370 Mozart Terrace Unit 106, Fremont, CA 94538 | 2020-04-13 |
| 1740847284 | Gloria Ann Federico | Behavior Technician | 39210 State St., Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2019-05-21 |
| 1093270688 | Timothy Lorne Haynes | Chiropractor | 3775 Beacon Ave., Suite 200, Fremont, CA 94538 | 2019-02-07 |
| 1902370067 | Nicole Sandoval | Counselor | 39155 Liberty St Suite E500, Fremont, CA 94538 | 2019-01-11 |
| 1497225015 | Megan Galban | Behavior Technician | 39210 State St. Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1780154302 | Karla Patricia Plascencia | Behavior Technician | 39210 State Street Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1215407846 | Sydney J Torrens | Behavior Technician | 39210 State St. Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2018-11-27 |
| 1932676277 | Jarah Harvan | Psychologist | 1999 Mowry Ave Ste F, Fremont, CA 94538 | 2018-10-24 |
| 1205321965 | Chien Shien Yang Md Inc | Psychiatry & Neurology | 1860 Mowry Ave Ste 301a, Fremont, CA 94538 | 2018-06-26 |
| 1912416199 | Advanced Interventional Surgical Center | Clinic/Center | 3077 Stevenson Blvd, Fremont, CA 94538 | 2017-09-20 |
| Find all providers in zip 94538 | ||||
| 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 |
|---|---|---|---|---|
| 1437649290 | Myrella Thompson | Psychologist | 89 Montalban Dr, Fremont, CA 94536-1679 | 2018-05-16 |
| 1720512957 | Cherie Page | Psychologist | 39199 Guardino Dr, Fremont, CA 94538-3014 | 2017-04-14 |
| 1114327806 | High Top Manor Psychological Services | Psychologist | 503 Garrison St., Fremont, OH 43420-2946 | 2014-08-29 |
| 1235556812 | Raymond Grimm | Psychologist | 3100 Mowry Ave Ste 402, Fremont, CA 94538-1509 | 2014-03-21 |
| 1134490725 | Marta Schneider Brody | Psychologist | 34016 Webfoot Loop, Fremont, CA 94555-2975 | 2012-01-13 |
| 1720379613 | Odlinx Incorporated | Psychologist | 39825 Paseo Padre Pkwy Ste B, Fremont, CA 94538-3031 | 2011-04-26 |
| 1942500491 | Gurminder Kaur Sahasi | Psychologist | 3110 Dunsanay Court, Fremont, CA 94536 | 2010-11-01 |
| 1518196427 | Kristin Nicole Moore | Psychologist | 39100 Gallaudet Dr, Fremont, CA 94538-2325 | 2009-07-13 |
| 1750534467 | John Arthur Rekart | Psychologist | 37702 Logan Dr, Fremont, CA 94536-5868 | 2008-10-24 |
| 1285808915 | Anne M Bisek | Psychologist | 3602 Thornton Ave # 54, Fremont, CA 94536-7400 | 2008-04-14 |
| Find all providers in FREMONT | ||||
Please comment or provide details below to improve the information on DR. SHANNON ELYSE STOVALL.
| 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.