SHAUNE-RU WANG
NPI 1275202699
Psychologist - Counseling in San Jose, CA

Active since September 09, 2021PECOS Enrolled
2400 MOORPARK AVE STE 300, SAN JOSE, CA 95128(408) 975-2730(408) 975-2764 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 16, 2025, Dec 12, 2025, Sep 9, 2021 (3 updates tracked since 2021).

About Shaune-ru Wang NPPES

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

SHAUNE-RU WANG (NPI 1275202699) is an individual counseling provider in San Jose, California, licensed in California (36412) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1275202699
Entity TypeIndividualFemale
Primary Taxonomy103TC1900X
Provider Legal NameSHAUNE-RU WANG
Location Address2400 MOORPARK AVE STE 300San Jose, CA 95128-2680
Mailing Address2400 Moorpark Ave Ste 300San Jose, CA 95128-2680 · (408) 975-2730 · Fax (408) 975-2764
Fax(408) 975-2764
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 9, 2021
Last NPPES UpdateDecember 16, 20253 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
NPI 1275202699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
License Licensed in CA · 36412
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
Also ListedRehabilitation PractitionerTaxonomy 225400000X
2400 MOORPARK AVE STE 300, San Jose, CA 95128

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shaune-ru Wang is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022504323
PECOS Enrollment IDI20260106002965
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.

Marriage & Family Therapist
2400 MOORPARK AVE STE 300
SAN JOSE, CA 95128
Community Health Worker
2400 MOORPARK AVE STE 300
SAN JOSE, CA 95128
Marriage & Family Therapist
2400 MOORPARK AVE STE 300
SAN JOSE, CA 95128
Community Health Worker
2400 MOORPARK AVE STE 300
SAN JOSE, CA 95128
Family Medicine
2400 MOORPARK AVE STE 300
SAN JOSE, CA 95128
Registered Nurse
2400 MOORPARK AVE STE 300
SAN JOSE, CA 95128
Psychologist
2400 MOORPARK AVE STE 300
SAN JOSE, CA 95128
Marriage & Family Therapist
2400 MOORPARK AVE STE 300
SAN JOSE, CA 95128

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 Shaune-ru Wang's NPI number?

The NPI number for Shaune-ru Wang is 1275202699. It was assigned to this individual provider in the NPPES registry on September 9, 2021.

Where is Shaune-ru Wang located?

Shaune-ru Wang practices at 2400 Moorpark Ave Ste 300, San Jose, CA 95128. The listed phone number is (408) 975-2730.

What is Shaune-ru Wang's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

Is Shaune-ru Wang enrolled in Medicare?

Yes. Shaune-ru Wang is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shaune-ru Wang was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.