SHANNON DOBBS
NPI 1154669604
Psychologist - Clinical in Agoura Hills, CA

Q: What is Shannon Dobbs Psy.D Corp's NPI number?

The NPI number for Shannon Dobbs Psy.D Corp is 1154669604. It was assigned to this organization in the NPPES registry on January 17, 2013. The provider is doing business as Shannon Dobbs.

Q: What is Shannon Dobbs Psy.D Corp's specialty?

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

Active since January 17, 2013

28310 ROADSIDE DR STE 203, AGOURA HILLS, CA 91301(310) 428-2431(800) 713-1290 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Oct 1, 2018 (2 updates tracked since 2018).

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About Shannon Dobbs NPPES

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

SHANNON DOBBS (NPI 1154669604) is a healthcare organization registered as a clinical in Agoura Hills, California and active in the NPI registry since January 2013. The organization lists Shannon Dobbs, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1154669604

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameSHANNON DOBBS PSY.D CORP

Location Address28310 ROADSIDE DR STE 203Agoura Hills, CA 91301-4958

Mailing Address2060d E Avenida De Los Arboles # 239Thousand Oaks, CA 91362-1376 · (310) 428-2431 · Fax (800) 713-1290

Phone(310) 428-2431

Fax(800) 713-1290

Organization SubpartNo

Authorized OfficialShannon DobbsClinical Psychologist · (310) 428-2431

Enumeration DateJanuary 17, 2013

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1154669604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

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.

28310 ROADSIDE DR STE 203, Agoura Hills, CA 91301

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Other Names 1

Doing Business AsShannon Dobbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Dobbs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Shannon Dobbs, which bills Medicare for the services this clinician delivers.

Clinician (1)

Shannon Dobbs, PSY.D.

Clinical Psychologist

NPI 1205092046

28310 ROADSIDE DR STE 203
Agoura Hills, CA 91301

(310) 428-2431

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Dobbs Psy.D Corp's NPI number?

The NPI number for Shannon Dobbs Psy.D Corp is 1154669604. It was assigned to this organization in the NPPES registry on January 17, 2013. The provider is doing business as Shannon Dobbs.

Where is Shannon Dobbs Psy.D Corp located?

Shannon Dobbs Psy.D Corp is located at 28310 Roadside Dr Ste 203, Agoura Hills, CA 91301. The listed phone number is (310) 428-2431.

What is Shannon Dobbs Psy.D Corp's specialty?

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

Is Shannon Dobbs Psy.D Corp enrolled in Medicare?

Yes. Shannon Dobbs Psy.D Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shannon Dobbs Psy.D Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Shannon Dobbs Psy.D Corp. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Shannon Dobbs Psy.D Corp was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.