DR. SHANNON MARIE BATES PSYD
NPI 1073000279
Psychologist - Clinical in Los Angeles, CA

Active since April 13, 2018PECOS EnrolledAccepts Medicare Assignment
91.7/100
CMS Quality Rating
760 WESTWOOD PLZ STE 48-240, LOS ANGELES, CA 90024(310) 825-0586 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2024, Apr 13, 2018 (2 updates tracked since 2018).

About Dr. Shannon Marie Bates Psyd NPPES

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

DR. SHANNON MARIE BATES PSYD (NPI 1073000279) is an individual clinical provider in Los Angeles, California, licensed in California (PSY29907) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Los Angeles, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1073000279
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SHANNON MARIE BATESCredential: PSYD
Location Address760 WESTWOOD PLZ STE 48-240Los Angeles, CA 90024-5055
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateApril 13, 2018
Last NPPES UpdateJuly 19, 20242 updates tracked since enumeration
NPPES CertifiedJuly 19, 2024
NPI 1073000279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY29907
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.
760 WESTWOOD PLZ STE 48-240, Los Angeles, CA 90024

Secondary Practice Location 1

Location 1760 Westwood Plz Ste 47-438CLos Angeles, CA 90095-8353 · Phone (310) 267-3377

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Shannon Marie Bates Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547525479
PECOS Enrollment IDI20180524002071
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90024 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.77
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

Psychiatry & Neurology (Psychiatry)
760 WESTWOOD PLZ STE 48-240
LOS ANGELES, CA 90024
Psychologist (Clinical)
760 WESTWOOD PLZ STE 48-240
LOS ANGELES, CA 90024
Psychologist (Clinical)
760 WESTWOOD PLZ STE 48-240
LOS ANGELES, CA 90024
Psychologist (Clinical)
760 WESTWOOD PLZ STE 48-240
LOS ANGELES, CA 90024
Psychologist (Clinical)
760 WESTWOOD PLZ STE 48-240
LOS ANGELES, CA 90024
Psychiatry & Neurology (Psychiatry)
760 WESTWOOD PLZ STE 48-240
LOS ANGELES, CA 90024

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 Shannon Bates's NPI number?

The NPI number for Shannon Bates is 1073000279. It was assigned to this individual provider in the NPPES registry on April 13, 2018.

Where is Shannon Bates located?

Shannon Bates practices at 760 Westwood Plz Ste 48-240, Los Angeles, CA 90024. The listed phone number is (310) 825-0586.

What is Shannon Bates's specialty?

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

Is Shannon Bates enrolled in Medicare?

Yes. Shannon Bates is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shannon Bates was last updated on July 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.