LUCAS BLAINE SHAW PHD
NPI 1306138532
Psychologist - Clinical in Atascadero, CA

Q: What is Lucas Shaw's NPI number?

The NPI number for Lucas Shaw is 1306138532. It was assigned to this individual provider in the NPPES registry on May 5, 2011.

Q: What is Lucas Shaw's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Lucas Shaw was last updated on May 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since May 05, 2011

10333 EL CAMINO REAL, ATASCADERO, CA 93422(805) 468-3612(805) 468-2910 Get Directions Write a Review

NPPES record last updated: May 5, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Lucas Blaine Shaw Phd NPPES

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

LUCAS BLAINE SHAW PHD (NPI 1306138532) is an individual clinical provider in Atascadero, California, licensed in California (PSY 24101) and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1306138532

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameLUCAS BLAINE SHAWCredential: PHD

Location Address10333 EL CAMINO REALAtascadero, CA 93422-5808

Mailing Address1600 9th St Ste 205Sacramento, CA 95814-6435 · (916) 654-2431 · Fax (916) 654-3186

Phone(805) 468-3612

Fax(805) 468-2910

Sole ProprietorNo

Enumeration DateMay 5, 2011

✔ NPI 1306138532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY 24101

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

10333 EL CAMINO REAL, Atascadero, CA 93422

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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.

GIZELLA MARIA RAYMOND N.P., R.N.

Nurse Practitioner (Psychiatric/Mental Health)