SHINE MEDICAL OF CA PC – NPI #1942935473
Psychiatry & Neurology

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

SHINE MEDICAL OF CA PC is a psychiatry & neurologist located in SAN JOSE, CA. NPPES has assigned the NPI number 1942935473 to SHINE MEDICAL OF CA PC on July 19, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2084P0800X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Psychiatry

The NPI profile was last updated on Dec 08, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHINE MEDICAL OF CA PC below.

NPI Profile for
SHINE MEDICAL OF CA PC

NPI Number
1942935473
Enumeration Date

(about 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SHINE MEDICAL OF CA PC
Primary location
325 S 1ST ST STE 200
SAN JOSE, CA 95113-2835
Phone: (888) 380-2028 Fax:
1 Other location(s):
1423 Broadway # 1152
Oakland, CA 94612-2054
Phone: (888) 380-2028
Mailing address
PO BOX 360721
PITTSBURGH, PA 15251-6721
Phone: Fax:
Organization Subpart
No
Authorized Official
CLARE FRYE
SVP OF OPERATIONS
Phone: (616) 648-1196
Updated
Certification Date
Dec 08, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084P0800X
- Psychiatry & Neurology / Psychiatry (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.