Stuart M. Shaffer, PH.D.
NPI 1366588675ActiveIndividual· Psychologist, Clinical· San Pedro, CA
Psychologist, Clinical (PH.D.) in San Pedro, California, licensed in CA, with an NPI issued in January 2007. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1366588675 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D. |
| Sole proprietor | No |
| NPI issued | Jan 30, 2007 |
| Last updated in NPPES | Mar 5, 2024 |
| Certified by provider | Mar 5, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PSY5613 | CA |
| Clinical Neuropsychologist | 103G00000X | PSY5613 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (CA) |
|---|
Education and affiliations
| Graduation year | 1967 |
|---|---|
| Medicare specialty | Clinical Psychologist |
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All 16 clinical psychologists in San Pedro · All clinical psychologists in California