SHASTA MARIE IHORN PHD
NPI 1063824019
Psychologist in Vallejo, CA

Active since May 27, 2014
1761 BROADWAY ST, STE 100, VALLEJO, CA 94589(707) 645-2700 Get Directions Write a Review

NPPES record last updated: May 27, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Shasta Marie Ihorn Phd NPPES

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

SHASTA MARIE IHORN PHD (NPI 1063824019) is an individual psychologist in Vallejo, California and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1063824019
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameSHASTA MARIE IHORNCredential: PHD
Location Address1761 BROADWAY ST, STE 100Vallejo, CA 94589-2226
Mailing Address1761 Broadway St, Ste 100Vallejo, CA 94589-2226
Sole ProprietorNo
Enumeration DateMay 27, 2014
NPI 1063824019 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.

1761 BROADWAY ST, Vallejo, CA 94589

Other Providers at the Same Location NPPES 20

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

Occupational Therapist (Physical Rehabilitation)
1761 BROADWAY ST
VALLEJO, CA 94589
Counselor (Mental Health)
1761 BROADWAY ST, SUITE 100
VALLEJO, CA 94589
Physical Therapist
1761 BROADWAY ST
VALLEJO, CA 94589
Social Worker (Clinical)
1761 BROADWAY ST, SUITE #100
VALLEJO, CA 94589
Psychologist (Clinical)
1761 BROADWAY ST, SUITE 100
VALLEJO, CA 94589
Physical Therapist
1761 BROADWAY ST
VALLEJO, CA 94589
Marriage & Family Therapist
1761 BROADWAY ST
VALLEJO, CA 94589
Speech-Language Pathologist
1761 BROADWAY ST
VALLEJO, CA 94589

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 Shasta Ihorn's NPI number?

The NPI number for Shasta Ihorn is 1063824019. It was assigned to this individual provider in the NPPES registry on May 27, 2014.

Where is Shasta Ihorn located?

Shasta Ihorn practices at 1761 Broadway St Ste 100, Vallejo, CA 94589. The listed phone number is (707) 645-2700.

What is Shasta Ihorn's specialty?

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

When was this NPI record last updated?

The NPPES record for Shasta Ihorn was last updated on May 27, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.