Katherine Shadish, PHD
Clinical Psychologist · San Mateo, CA
Katherine Shadish, PHD is a clinical psychologist with a practice address in San Mateo, California, and NPI 1336589043, issued on Jun 26, 2013. Check the license (California 30634, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Katherine Shadish
- Credential
- PHD
- Primary taxonomy
- Clinical Psychologist 103TC0700X
- License number
- 30634 CA
Self-reported in NPPES; status is on the state search - Practice location
- 222 W 39TH Ave, San Mateo, CA 94403
- Phone
- (408) 975-2730
- Enumerated
- Jun 26, 2013
- Record last updated
- Jan 15, 2019 (not updated in 7 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20190228000756); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest clinical psychologist records → All 12,647 in California → Look up another NPI →
Also registered at 222 W 39TH Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- John Anderson, MDObstetrics & Gynecology Physician1013082429
- Shea AndersonClinical Social Worker1689964991
- Zohra Ansari, MSWClinical Social Worker1326462904
Verify Katherine Shadish in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich California board licenses this profession
Search for license 30634Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- County OF San MateoSan Mateo, CA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Katherine Shadish among 12,647 clinical psychologist records in California
Katherine Shadish, PHD is one of 12,647 clinical psychologist records with a practice address in California. 9% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 67% of them.
- NPI issued2013 · 67% of these records are older, 29% newer
- In a Medicare fileYes · 9% of these records are
- In the CMS Doctors and Clinicians fileYes · 19% of these records are
- Graduated2017 · median 2006 among the 2,424 with a school on file
- Record last updated2019 · 63% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
65 clinical psychologist records list a practice address in San Mateo
They are 65 of the 3,909 NPPES records with a practice address in San Mateo, and 12,647 clinical psychologist records in California.
All 12,647 in California → Every provider in San Mateo → Clinical Psychologist nationwide →
The 8 clinical psychologist records with the nearest ZIP codes
- Lauren Allerhand, PSY.D.San Mateo, CA 944031346763067
- Ernestina Araiza, PSY.D.San Mateo, CA 944031568608636
- Sherri BurwellSan Mateo, CA 944031750417085
- Courtney Farmer, PH.D.San Mateo, CA 944031336690924
- Raisa GarciaSan Mateo, CA 944031770918005
- Daniele Levy, PHDSan Mateo, CA 944031902166465
- Wei Lew, PH.D.San Mateo, CA 944031427134733
- Jazmin Llamas, PHDSan Mateo, CA 944031972081933
Common questions
What is Katherine Shadish, PHD's NPI number?
Katherine Shadish, PHD's National Provider Identifier (NPI) is 1336589043, issued on Jun 26, 2013. An NPI identifies a provider in billing; it is not a license.
Where is Katherine Shadish, PHD located?
The NPPES record lists a practice address at 222 W 39TH Ave, San Mateo, CA, 94403. Phone: (408) 975-2730. Providers update this record themselves, so call before visiting.
How can I verify Katherine Shadish, PHD's license?
NPPES lists California license number 30634, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.