CHRISTY LEA SHAW (NPI# 1447538210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447538210 |
| Entity Type | Individual |
| Full Name | CHRISTY LEA SHAW |
| Other Name | CHRISTY LEA HEIST |
| Credential | PSY.D. |
| Practice Address |
1625 Stockton Blvd Ste 104 Sacramento CA 95816-7098 |
| Mailing Address |
10470 Old Placerville Rd Ste 100 Sacramento CA 95827-2539 |
| Practice Telephone | 9164546667 |
| Mailing Telephone | 8004700071 |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2016-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PSY28422 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952876278 | Christy Lynn Shaw | Nurse Practitioner | 6809 Highway 90 E, Ocean Springs, MS 39564-8655 | 2018-10-13 |
| Street Address |
1625 STOCKTON BLVD STE 104 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95816-7098 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316040678 | Shubhangi Chitnis | Psychiatry & Neurology | 1625 Stockton Blvd Ste 104, Sacramento, CA 95816 | 2006-09-05 |
| 1962064139 | Lea Marie Smith | Nurse Practitioner | 1625 Stockton Blvd Ste 104, Sacramento, CA 95816-7098 | 2019-07-08 |
| 1629557558 | Malay Phoong | Psychologist | 1625 Stockton Blvd Ste 104, Sacramento, CA 95816-7098 | 2018-08-10 |
| 1588077788 | Nathaniel Hodoba | Psychiatry & Neurology | 1625 Stockton Blvd Ste 104, Sacramento, CA 95816-7098 | 2014-06-05 |
| 1649526203 | Leon Grant | Psychiatry & Neurology | 1625 Stockton Blvd Ste 104, Sacramento, CA 95816-7098 | 2012-07-31 |
| 1003116708 | Nalini Chandra | Psychiatry & Neurology | 1625 Stockton Blvd Ste 104, Sacramento, CA 95816-7098 | 2010-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1417418955 | Soraya Foutouhi | Student in an Organized Health Care Education/Training Program | 301 C Street, Suite 1400, Sacramento, CA 95816 | 2019-03-27 |
| 1265902704 | Daljit Girn | Behavior Technician | 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 | 2018-11-27 |
| 1609385178 | Jared James Harold-husted | Behavior Technician | 3031 C St, Sacramento, Sacramento, CA 95816 | 2017-09-27 |
| 1124537170 | Phuong Huynh | Behavior Technician | 3009 C Street, Sacramento, CA 95816 | 2017-09-21 |
| 1427570811 | Manpreet Kaur Chehal | Counselor | 500 22nd Street, Sacramento, CA 95816 | 2017-07-07 |
| 1295264646 | Veronica Lynn Just | Behavior Technician | 3031 C St., Sacramento, CA 95816 | 2017-06-08 |
| 1285163907 | Marquise Jones | Behavior Technician | 3031 C Street, Sacramento, CA 95816 | 2017-06-06 |
| 1578007159 | Kate Hanel | Student in an Organized Health Care Education/Training Program | 2500 I St, Sacramento, CA 95816 | 2016-12-15 |
| 1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
| Find all providers in zip 95816 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1396058780 | Lenore A Tate | Clinical Neuropsychologist | 2030 W El Camino Ave Ste 200, Sacramento, CA 95833-1867 | 2010-07-14 |
| 1588816391 | Maria Moleski | Clinical Neuropsychologist | 2631 Phyllis Ave, Sacramento, CA 95820-4642 | 2008-10-13 |
| 1659530129 | Glenn Alan Hammel | Clinical Neuropsychologist | 1061 Sagamore Way, Sacramento, CA 95822-1714 | 2008-06-09 |
| 1710150685 | John J. Wicks | Clinical Neuropsychologist | 2128 V St, Sacramento, CA 95818-1732 | 2008-04-10 |
| 1003029471 | Lawrence Manley Wilcox | Clinical Neuropsychologist | 1421 P St., #16, Sacramento, CA 95814-5921 | 2007-05-08 |
| 1649326810 | Grant L. Hutchinson | Clinical Neuropsychologist | 730 Alhambra Blvd, Suite 205, Sacramento, CA 95816-3847 | 2007-01-28 |
| 1700934247 | Nancy Bell Mahaney | Clinical Neuropsychologist | 1555 River Park Dr, Suite 205, Sacramento, CA 95815-4612 | 2007-01-08 |
| 1093874133 | Catherine Elise Broomand | Clinical Neuropsychologist | 2345 Fair Oaks Blvd # 14, Sacramento, CA 95825-4708 | 2006-12-06 |
| 1962598284 | June Paltzer | Clinical Neuropsychologist | 1329 Howe Avenue, Suite 201, Sacramento, CA 95825-3363 | 2006-10-05 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95816 |
Please comment or provide details below to improve the information on CHRISTY LEA SHAW.
| 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.