DR. LAURA MARIE SHRADER PSY.D.
NPI 1164737276
Counselor - Addiction (Substance Use Disorder) in Stockton, CA
About Dr. Laura Marie Shrader Psy.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LAURA MARIE SHRADER PSY.D. (NPI 1164737276) is an individual addiction (substance use disorder) provider in Stockton, California and active in the NPI registry since August 2010. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Laura Marie Shrader Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Laura Shrader reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STOCKTON, CA 95210
STOCKTON, CA 95210
STOCKTON, CA 95210
STOCKTON, CA 95210
STOCKTON, CA 95210
STOCKTON, CA 95210
STOCKTON, CA 95210
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 Laura Shrader's NPI number?
The NPI number for Laura Shrader is 1164737276. It was assigned to this individual provider in the NPPES registry on August 12, 2010. The provider is also known as Ms. Laura Marie Kirksey.
Where is Laura Shrader located?
Laura Shrader practices at 8626 Lower Sacramento Rd Ste 41, Stockton, CA 95210. The listed phone number is (209) 478-1476.
What is Laura Shrader's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
Is Laura Shrader enrolled in Medicare?
Yes. Laura Shrader is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Laura Shrader's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Laura Shrader reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, 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 Laura Shrader'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 Laura Shrader was last updated on January 11, 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.
# Dr. Laura Marie Shrader, PSY.D. · NPI 1164737276
Addiction (Substance Use Disorder) provider in Stockton, California. Individual provider, active in the CMS NPPES registry since August 12, 2010.
## Identity
- **NPI:** 1164737276 (Entity type: Individual)
- **Enumerated:** August 12, 2010
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **Sole proprietor:** No
## Practice location
- **Address:** 8626 LOWER SACRAMENTO RD, STE 41, Stockton, CA 95210-1835
- **Phone:** (209) 478-1476
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1548343510, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1164737276) · Data from the CMS NPPES public registry.