EMILY WEAR SHUM PH.D.
NPI 1154986370
Psychologist in Rancho Cucamonga, CA

Active since May 02, 2019PECOS Enrolled
10601 CIVIC CENTER DR STE 150, RANCHO CUCAMONGA, CA 91730(909) 293-9124 Get Directions Write a Review

NPPES record last updated: October 18, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 18, 2022, Jan 8, 2020, May 2, 2019 (3 updates tracked since 2019).

About Emily Wear Shum Ph.d. NPPES

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

EMILY WEAR SHUM PH.D. (NPI 1154986370) is an individual psychologist in Rancho Cucamonga, California, licensed in California (PSY30752) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chino Hills.

NPPES Registry Identity

NPI1154986370
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameEMILY WEAR SHUMCredential: PH.D.
Location Address10601 CIVIC CENTER DR STE 150Rancho Cucamonga, CA 91730-7682
Mailing Address10601 Civic Center Dr Ste 150Rancho Cucamonga, CA 91730-7682 · (909) 293-9124
Sole ProprietorNo
Enumeration DateMay 2, 2019
Last NPPES UpdateOctober 18, 20223 updates tracked since enumeration
NPPES CertifiedOctober 18, 2022
✔ NPI 1154986370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in CA · PSY30752
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.
10601 CIVIC CENTER DR STE 150, Rancho Cucamonga, CA 91730

Other Names 1

Former Name (1)Emily Anne Wear

Secondary Practice Location 1

Location 114772 Pipeline Ave Ste DChino Hills, CA 91709-6027 · Phone (909) 293-9124

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emily Wear Shum Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Emily Shum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
4110 EDISON AVE STE 206A
Chino, CA 91710
  • Reassigned Medicare billing, California enrollment
  • 52 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES

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

Marriage & Family Therapist
10601 CIVIC CENTER DR STE 150
RANCHO CUCAMONGA, CA 91730

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 Emily Shum's NPI number?

The NPI number for Emily Shum is 1154986370. It was assigned to this individual provider in the NPPES registry on May 2, 2019. The provider is also known as Emily Anne Wear.

Where is Emily Shum located?

Emily Shum practices at 10601 Civic Center Dr Ste 150, Rancho Cucamonga, CA 91730. The listed phone number is (909) 293-9124.

What is Emily Shum's specialty?

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

Is Emily Shum enrolled in Medicare?

Yes. Emily Shum is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Emily Shum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Emily Shum reassigns Medicare benefits to Quest Health Management Psychological Corporation (Chino, CA). The 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 Emily Shum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Emily Shum was last updated on October 18, 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.