SHEA K FEDIGAN PHD
NPI 1396178448
Psychologist - Clinical Child & Adolescent in Palo Alto, CA

Q: What is Shea Fedigan's NPI number?

The NPI number for Shea Fedigan is 1396178448. It was assigned to this individual provider in the NPPES registry on August 13, 2013.

Q: What is Shea Fedigan's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Shea Fedigan was last updated on April 28, 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.

Active since August 13, 2013PECOS Enrolled

725 WELCH RD, PALO ALTO, CA 94304(650) 723-5511 Get Directions Write a Review

NPPES record last updated: April 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 28, 2024, Mar 6, 2020, Nov 19, 2018 (3 updates tracked since 2018).

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About Shea K Fedigan Phd NPPES

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

SHEA K FEDIGAN PHD (NPI 1396178448) is an individual clinical child & adolescent provider in Palo Alto, California, licensed in California (PSY31606) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS and maintains a secondary practice location in Mountain View.

NPPES Registry Identity

NPI1396178448

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameSHEA K FEDIGANCredential: PHD

Location Address725 WELCH RDPalo Alto, CA 94304-1601

Mailing Address725 Welch RdPalo Alto, CA 94304-1601 · (650) 497-8000

Phone(650) 723-5511

Sole ProprietorNo

Enumeration DateAugust 13, 2013

Last NPPES UpdateApril 28, 20243 updates tracked since enumeration

NPPES CertifiedApril 28, 2024

✔ NPI 1396178448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in CA · PSY31606

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Also ListedPsychologistTaxonomy 103T00000X · License PSY31606 (CA)

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 10922 (MA)

725 WELCH RD, Palo Alto, CA 94304

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Secondary Practice Location 1

Location 11174 Castro St Ste 250Mountain View, CA 94040-2570 · Phone (650) 723-5511

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellSense Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shea K Fedigan Phd 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.

EIRI INENAGA MS, OTR/L

Occupational Therapist (Pediatrics)