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MISS KYALAI A SHAW SUDRC
NPI 1386312783
Counselor - Addiction (Substance Use Disorder) in Oakland, CA

Active since August 31, 2021
3845 TELEGRAPH AVE, OAKLAND, CA 94609(510) 450-1197 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 26, 2024, Jul 13, 2022 (2 updates tracked since 2022).

About Miss Kyalai A Shaw Sudrc NPPES

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

MISS KYALAI A SHAW SUDRC (NPI 1386312783) is an individual addiction (substance use disorder) provider in Oakland, California, licensed in California (16183) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1386312783
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMISS KYALAI A SHAWCredential: SUDRC
Location Address3845 TELEGRAPH AVEOakland, CA 94609-2419
Mailing Address1200 Concord Ave Ste ConcordConcord, CA 94520-4915 · (510) 268-8120
Phone(510) 450-1197
Sole ProprietorNo
Enumeration DateAugust 31, 2021
Last NPPES UpdateApril 26, 20242 updates tracked since enumeration
NPPES CertifiedApril 26, 2024
✔ NPI 1386312783 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
License✔ Licensed in CA · 16183
Also ListedBehavior TechnicianTaxonomy 106S00000X · License RBT-20-142531 (CA)
3845 TELEGRAPH AVE, Oakland, CA 94609
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Other Names 1

Other Name (5)Miss Kiki Shaw Rbt

Other Providers at the Same Location NPPES 3

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

JEANETTE CAMACHO
Counselor (Addiction (Substance Use Disorder))
3845 TELEGRAPH AVE
OAKLAND, CA 94609
Alameda County (510) 450-1190
KHALILAH SAMUELS
Counselor (Addiction (Substance Use Disorder))
3845 TELEGRAPH AVE
OAKLAND, CA 94609
Alameda County (510) 784-5874
FRANCESCA FRUTO
Counselor (Addiction (Substance Use Disorder))
3845 TELEGRAPH AVE
OAKLAND, CA 94609
Alameda County (510) 582-2100

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 Kyalai Shaw's NPI number?

The NPI number for Kyalai Shaw is 1386312783. It was assigned to this individual provider in the NPPES registry on August 31, 2021. The provider is also known as Miss Kiki Shaw Rbt.

Where is Kyalai Shaw located?

Kyalai Shaw practices at 3845 Telegraph Ave, Oakland, CA 94609. The listed phone number is (510) 450-1197.

What is Kyalai Shaw's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kyalai Shaw was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.