Lyndi Elizabeth Shaw, MA - Psychologist in Sacramento, CA

Lyndi Elizabeth Shaw, MA is a Psychologist - Clinical based in Sacramento, California. Lyndi Elizabeth Shaw is licensed to practice in California (license number PSB 94022177) and her current practice location is 2830 I St, Ste 306, Sacramento, California. She can be reached at her office (for appointments etc.) via phone at (916) 722-7792.

NPI number for Lyndi Elizabeth Shaw is 1518311232 and her current mailing address is 2830 I St, Ste 306, Sacramento, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518311232.

Contact Information

Lyndi Elizabeth Shaw, MA
2830 I St, Ste 306,
Sacramento, CA 95816-4311
(916) 722-7792
Not Available



Healthcare Provider's Profile

Full NameLyndi Elizabeth Shaw
GenderFemale
SpecialityPsychologist - Clinical
Location2830 I St, Sacramento, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1518311232
  • Provider Enumeration Date: 04/19/2016
  • Last Update Date: 04/19/2016

Medical Identifiers

Medical identifiers for Lyndi Elizabeth Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518311232NPI-NPPES
PSB 94022177OtherCABOARD OF PSYCHOLOGY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TA0400XPsychologist - Addiction (substance Use Disorder) PSB 94022177 (California)Secondary
101YM0800XCounselor - Mental Health PSB 94022177 (California)Secondary
103TA0700XPsychologist - Adult Development & Aging PSB 94022177 (California)Secondary
103TB0200XPsychologist - Cognitive & Behavioral PSB 94022177 (California)Secondary
103TC0700XPsychologist - Clinical PSB 94022177 (California)Primary
103TC1900XPsychologist - Counseling PSB 94022177 (California)Secondary
103TC2200XPsychologist - Clinical Child & Adolescent PSB 94022177 (California)Secondary
103TF0000XPsychologist - Family PSB 94022177 (California)Secondary
103TP2701XPsychologist - Group Psychotherapy PSB 94022177 (California)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lyndi Elizabeth Shaw is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lyndi Elizabeth Shaw, MA
2830 I St, Ste 306,
Sacramento, CA 95816-4311

Ph: (916) 722-7792
Lyndi Elizabeth Shaw, MA
2830 I St, Ste 306,
Sacramento, CA 95816-4311

Ph: (916) 722-7792

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› Verified 6 days ago


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