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DR. MICHELLE SHARIAT-HANSEN PSY.D.
NPI 1376601682
Psychologist - Clinical in Novato, CA

Active since December 06, 2006Opted out of Medicare · through Aug 1, 2028
2 COMMERCIAL BLVD, SUITE 200, NOVATO, CA 94949(415) 497-7094(415) 883-3014 Get Directions Write a Review

NPPES record last updated: May 4, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Michelle Shariat-hansen Psy.d. NPPES

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

DR. MICHELLE SHARIAT-HANSEN PSY.D. (NPI 1376601682) is an individual clinical provider in Novato, California, licensed in California (PSY19389) and active in the NPI registry since December 2006. She has opted out of Medicare through August 1, 2028.

NPPES Registry Identity

NPI1376601682
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MICHELLE SHARIAT-HANSENCredential: PSY.D.
Location Address2 COMMERCIAL BLVD, SUITE 200Novato, CA 94949-6123
Mailing Address2 Commercial Blvd, Suite 200Novato, CA 94949-6123 · (415) 497-7094 · Fax (415) 883-3014
Phone(415) 497-7094
Fax(415) 883-3014
Sole ProprietorYes
Enumeration DateDecember 6, 2006
Last NPPES UpdateMay 4, 2012
✔ NPI 1376601682 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 · PSY19389
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.
2 COMMERCIAL BLVD, Novato, CA 94949
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Other Identifiers 2

Medicare UPINQ36582CA
Medicare ID-Type UnspecifiedOPL193890CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Michelle Shariat-hansen Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 1, 2024 through August 1, 2028.

Opt-Out Effective DateAugust 1, 2024
Opt-Out In Effect ThroughAugust 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SAUNDRA ANN LIEBERMAN PH.D., M.F.T.
Marriage & Family Therapist
2 COMMERCIAL BLVD, SUITE 200
NOVATO, CA 94949
Marin County (415) 883-9222
MICHELLE SHARIAT-HANSEN
Psychologist
2 COMMERCIAL BLVD, SUITE 200
NOVATO, CA 94949
Marin County (415) 497-7094
MS. NANCY P. FREASE MFT
Counselor (Professional)
2 COMMERCIAL BLVD, SUITE 200
NOVATO, CA 94949
Marin County (415) 472-5344
MS. JENNIFER MARGARET MARSH MFT
Marriage & Family Therapist
2 COMMERCIAL BLVD, SUITE 200
NOVATO, CA 94949
Marin County (415) 883-9222

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 Michelle Shariat-hansen's NPI number?

The NPI number for Michelle Shariat-hansen is 1376601682. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Michelle Shariat-hansen located?

Michelle Shariat-hansen practices at 2 Commercial Blvd Suite 200, Novato, CA 94949. The listed phone number is (415) 497-7094.

What is Michelle Shariat-hansen's specialty?

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

Is Michelle Shariat-hansen enrolled in Medicare?

No. Michelle Shariat-hansen has opted out of Medicare through August 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Michelle Shariat-hansen was last updated on May 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.