SHIRI LICHTENSTEIN PSYD
NPI 1174979660
Psychologist in San Rafael, CA

Active since May 13, 2016PECOS Enrolled
111 SMITH RANCH RD, SAN RAFAEL, CA 94903(415) 491-3000 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 3, 2022, May 13, 2016 (2 updates tracked since 2016).

About Shiri Lichtenstein Psyd NPPES

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

SHIRI LICHTENSTEIN PSYD (NPI 1174979660) is an individual psychologist in San Rafael, California, licensed in California (27696) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174979660
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameSHIRI LICHTENSTEINCredential: PSYD
Location Address111 SMITH RANCH RDSan Rafael, CA 94903-1939
Mailing Address111 Smith Ranch RdSan Rafael, CA 94903-1939 · (415) 491-3000
Sole ProprietorNo
Enumeration DateMay 13, 2016
Last NPPES UpdateJanuary 3, 20222 updates tracked since enumeration
NPI 1174979660 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 · 27696
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.
111 SMITH RANCH RD, San Rafael, CA 94903

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shiri Lichtenstein Psyd 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.

Psychologist
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Psychiatry & Neurology (Psychiatry)
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marriage & Family Therapist
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Marriage & Family Therapist
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Psychologist (Clinical)
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Psychologist
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Psychologist (Clinical Child & Adolescent)
111 SMITH RANCH RD
SAN RAFAEL, CA 94903
Psychiatry & Neurology (Addiction Medicine)
111 SMITH RANCH RD
SAN RAFAEL, CA 94903

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 Shiri Lichtenstein's NPI number?

The NPI number for Shiri Lichtenstein is 1174979660. It was assigned to this individual provider in the NPPES registry on May 13, 2016.

Where is Shiri Lichtenstein located?

Shiri Lichtenstein practices at 111 Smith Ranch Rd, San Rafael, CA 94903. The listed phone number is (415) 491-3000.

What is Shiri Lichtenstein's specialty?

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

Is Shiri Lichtenstein enrolled in Medicare?

Yes. Shiri Lichtenstein is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shiri Lichtenstein was last updated on January 3, 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.