DR. LISA STAAB SHADBURN PSY.D.
NPI 1033233952
Psychologist - Clinical in South Pasadena, CA

Active since March 17, 2007
630 MISSION ST, SUITE C2, SOUTH PASADENA, CA 91030(626) 403-3040 Get Directions Write a Review

NPPES record last updated: March 24, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Lisa Staab Shadburn Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LISA STAAB SHADBURN PSY.D. (NPI 1033233952) is an individual clinical provider in South Pasadena, California, licensed in California (PSY17173) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1033233952
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. LISA STAAB SHADBURNCredential: PSY.D.
Location Address630 MISSION ST, SUITE C2South Pasadena, CA 91030-3058
Mailing Address1540 E Colorado StGlendale, CA 91205-1514 · (818) 244-7257
Sole ProprietorYes
Enumeration DateMarch 17, 2007
Last NPPES UpdateMarch 24, 2010
NPI 1033233952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY17173
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologistTaxonomy 103T00000X · License PSY17173 (CA)
Also ListedPsychologist · CounselingTaxonomy 103TC1900X · License PSY17173 (CA)
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License PSY17173 (CA)
630 MISSION ST, South Pasadena, CA 91030

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Acupuncturist
630 MISSION ST
SOUTH PASADENA, CA 91030
Internal Medicine
630 MISSION ST, SUITE 1
SOUTH PASADENA, CA 91030
Acupuncturist
630 MISSION ST, B
SOUTH PASADENA, CA 91030
Acupuncturist
630 MISSION ST, SUITE B
SOUTH PASADENA, CA 91030
Acupuncturist
630 MISSION ST
SOUTH PASADENA, CA 91030
Internal Medicine
630 MISSION ST, SUITE A
SOUTH PASADENA, CA 91030
Chiropractor
630 MISSION ST, SUITE C
SOUTH PASADENA, CA 91030
Acupuncturist
630 MISSION ST, SUITE B
SOUTH PASADENA, CA 91030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Staab Shadburn's NPI number?

The NPI number for Lisa Staab Shadburn is 1033233952. It was assigned to this individual provider in the NPPES registry on March 17, 2007.

Where is Lisa Staab Shadburn located?

Lisa Staab Shadburn practices at 630 Mission St Suite C2, South Pasadena, CA 91030. The listed phone number is (626) 403-3040.

What is Lisa Staab Shadburn's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Lisa Staab Shadburn was last updated on March 24, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.