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MARK M. SHAW PH.D.
NPI 1154556918
Psychologist - Forensic in Vacaville, CA

Active since May 22, 2009
1600 CALIFORNIA DR, VACAVILLE, CA 95687(707) 449-6504(707) 453-7047 Get Directions Write a Review

NPPES record last updated: May 22, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mark M. Shaw Ph.d. NPPES

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

MARK M. SHAW PH.D. (NPI 1154556918) is an individual forensic provider in Vacaville, California, licensed in California (PSY 15079) and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1154556918
Entity TypeIndividualMale
Primary Taxonomy103TF0200X
Provider Legal NameMARK M. SHAWCredential: PH.D.
Location Address1600 CALIFORNIA DRVacaville, CA 95687
Mailing AddressPo Box 9811Berkeley, CA 94709-0811
Phone(707) 449-6504
Fax(707) 453-7047
Sole ProprietorYes
Enumeration DateMay 22, 2009
✔ NPI 1154556918 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ForensicBehavioral Health & Social Service Providers
Taxonomy Code103TF0200X
License✔ Licensed in CA · PSY 15079
Definition
A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.
1600 CALIFORNIA DR, Vacaville, CA 95687
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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.

MS. JAMIE LYNN KORDICK PSY.D.
Psychologist (Clinical)
1600 CALIFORNIA DR
VACAVILLE, CA 95687
Solano County (707) 449-6571
DR. TEAL ASHLEY KOZEL PSYD
Psychologist (Clinical)
1600 CALIFORNIA DR
VACAVILLE, CA 95687
Solano County (707) 453-7017
SANDRA VELASCO-SCOTT PSY.D.
Psychologist (Clinical)
1600 CALIFORNIA DR, VACAVILLE
CA, CA 95687
Solano County (707) 446-6841
BETHLEHEM HAILE M.D
Internal Medicine
1600 CALIFORNIA DR
VACAVILLE, CA 95687
Solano County (707) 453-7007
MRS. HANNAH KWON RPH
Pharmacist
1600 CALIFORNIA DR
VACAVILLE, CA 95687
Solano County (707) 448-6841
LEE ALLEN BUCCINIO PH.D.
Psychologist (Clinical)
1600 CALIFORNIA DR
VACAVILLE, CA 95687
Solano County (707) 449-6582
DR. NICOLE OLLEY PH.D.
Psychologist (Clinical)
1600 CALIFORNIA DR
VACAVILLE, CA 95687
Solano County (707) 448-6841
MS. MICHELE KATHERINE CANIGLIA LCSW
Social Worker (Clinical)
1600 CALIFORNIA DR
VACAVILLE, CA 95687
Solano County (707) 448-6841

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 Mark Shaw's NPI number?

The NPI number for Mark Shaw is 1154556918. It was assigned to this individual provider in the NPPES registry on May 22, 2009.

Where is Mark Shaw located?

Mark Shaw practices at 1600 California Dr, Vacaville, CA 95687. The listed phone number is (707) 449-6504.

What is Mark Shaw's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Forensic, with taxonomy code 103TF0200X.

When was this NPI record last updated?

The NPPES record for Mark Shaw was last updated on May 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.