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SHARON RENEE SHAW
NPI 1093684920
Licensed Psychiatric Technician in Oakland, CA

Active since October 30, 2025
390 40TH ST, OAKLAND, CA 94609(510) 379-4179 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sharon Renee Shaw NPPES

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

SHARON RENEE SHAW (NPI 1093684920) is an individual licensed psychiatric technician in Oakland, California, licensed in California (40420) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1093684920
Entity TypeIndividualFemale
Primary Taxonomy167G00000X
Provider Legal NameSHARON RENEE SHAW
Location Address390 40TH STOakland, CA 94609-2633
Mailing Address5100 Vista Grande Dr Apt 1317Antioch, CA 94531-8547 · (510) 379-4179
Phone(510) 379-4179
Sole ProprietorYes
Enumeration DateOctober 30, 2025
Last NPPES UpdateOctober 31, 2025
NPPES CertifiedOctober 31, 2025
✔ NPI 1093684920 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers
Taxonomy Code167G00000X
License✔ Licensed in CA · 40420
Definition
An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.
390 40TH ST, Oakland, CA 94609
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

THUYMINH NGUYEN
Marriage & Family Therapist
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 653-5040
NOAH MERL
Social Worker
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 653-5040
VIRGIL GABA BAGAOISAN
Counselor (Addiction (Substance Use Disorder))
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 306-5361
DANIELLE CHRISJAN STAUFFER
Social Worker (Clinical)
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 723-1907
KIMBERLY ESPINOZA
Peer Specialist
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 613-0330
AUJANAE JACKSON
Peer Specialist
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 613-0330
KIMBERLY JANE GATLIN
Adult Companion
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 613-0330
SHALIMAR FAYEZ BOULOS LCSW, MSW, MPH
Social Worker (Clinical)
390 40TH ST
OAKLAND, CA 94609
Alameda County (510) 613-0330

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 Sharon Shaw's NPI number?

The NPI number for Sharon Shaw is 1093684920. It was assigned to this individual provider in the NPPES registry on October 30, 2025.

Where is Sharon Shaw located?

Sharon Shaw practices at 390 40th St, Oakland, CA 94609. The listed phone number is (510) 379-4179.

What is Sharon Shaw's specialty?

The primary specialty registered for this NPI is Licensed Psychiatric Technician with taxonomy code 167G00000X.

When was this NPI record last updated?

The NPPES record for Sharon Shaw was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.