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DR. LAURA MARIE SHRADER PSY.D.
NPI 1164737276
Counselor - Addiction (Substance Use Disorder) in Stockton, CA

Active since August 12, 2010PECOS Enrolled
8626 LOWER SACRAMENTO RD, STE 41, STOCKTON, CA 95210(209) 478-1476 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1164737276
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameDR. LAURA MARIE SHRADERCredential: PSY.D.
Location Address8626 LOWER SACRAMENTO RD, STE 41Stockton, CA 95210-1835
Mailing Address3300 Renwick Ave, Apt. 2044Elk Grove, CA 95758-7490 · (909) 528-2249
Phone(209) 478-1476
Sole ProprietorNo
Enumeration DateAugust 12, 2010
Last NPPES UpdateJanuary 11, 2022
✔ NPI 1164737276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
8626 LOWER SACRAMENTO RD, Stockton, CA 95210
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Other Names 1

Other Name (5)Ms. Laura Marie Kirksey

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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).

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.

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.

PRISCILLA ELLIS-WHITE
Counselor (Addiction (Substance Use Disorder))
8626 LOWER SACRAMENTO RD, SUITE #41
STOCKTON, CA 95210
San Joaquin County (209) 478-2487
JESSICA D GROOMES-CARMONA
Licensed Vocational Nurse
8626 LOWER SACRAMENTO RD
STOCKTON, CA 95210
San Joaquin County (209) 478-2487
ALEXIS NICOLE ALEXANDER
Counselor (Addiction (Substance Use Disorder))
8626 LOWER SACRAMENTO RD, #41
STOCKTON, CA 95210
San Joaquin County (209) 478-2487
SAVAN KOURM
Counselor (Addiction (Substance Use Disorder))
8626 LOWER SACRAMENTO RD
STOCKTON, CA 95210
San Joaquin County (209) 478-2487
AUDREE MENDEZ
Counselor (Addiction (Substance Use Disorder))
8626 LOWER SACRAMENTO RD
STOCKTON, CA 95210
San Joaquin County (209) 478-2487
MR. RICHARD VERNELL MORRIS
Counselor (Addiction (Substance Use Disorder))
8626 LOWER SACRAMENTO RD
STOCKTON, CA 95210
San Joaquin County (209) 478-2487
TANISHA ANNETTE ERVIN
Counselor (Addiction (Substance Use Disorder))
8626 LOWER SACRAMENTO RD, SUITE 41
STOCKTON, CA 95210
San Joaquin County (209) 478-2487
DENISE GONZALEZ
Counselor (Addiction (Substance Use Disorder))
8626 LOWER SACRAMENTO RD
STOCKTON, CA 95210
San Joaquin County (209) 478-2487

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.

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.