DR. DOMONIQUE CASPER SHAW PH.D.
NPI 1033561501
Psychologist in Sacramento, CA

Active since July 08, 2016PECOS Enrolled
3401 BEECH ST, SACRAMENTO, CA 95652(169) 640-8050 Get Directions Write a Review

NPPES record last updated: October 28, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Domonique Casper Shaw Ph.d. NPPES

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

DR. DOMONIQUE CASPER SHAW PH.D. (NPI 1033561501) is an individual psychologist in Sacramento, California and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033561501
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. DOMONIQUE CASPER SHAWCredential: PH.D.
Location Address3401 BEECH STSacramento, CA 95652
Mailing Address580 Columbia Ave, Apt 5Sunnyvale, CA 94085-4481
Sole ProprietorNo
Enumeration DateJuly 8, 2016
Last NPPES UpdateOctober 28, 2024
NPPES CertifiedOctober 23, 2024
NPI 1033561501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
3401 BEECH ST, Sacramento, CA 95652

Other Names 1

Former Name (1)Dr. Domonique Renee Casper Ph.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Domonique Casper Shaw Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Domonique Shaw's NPI number?

The NPI number for Domonique Shaw is 1033561501. It was assigned to this individual provider in the NPPES registry on July 8, 2016. The provider is also known as Dr. Domonique Renee Casper Ph.D..

Where is Domonique Shaw located?

Domonique Shaw practices at 3401 Beech St, Sacramento, CA 95652. The listed phone number is (169) 640-8050.

What is Domonique Shaw's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Domonique Shaw enrolled in Medicare?

Yes. Domonique Shaw is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Domonique Shaw was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.