DR. SHAWNIESE ROCHELLE TILMON PH.D.
NPI 1417154824
Psychologist - Clinical Child & Adolescent in Oakland, CA

Q: What is Shawniese Tilmon's NPI number?

The NPI number for Shawniese Tilmon is 1417154824. It was assigned to this individual provider in the NPPES registry on June 29, 2007.

Q: What is Shawniese Tilmon'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 Shawniese Tilmon was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 June 29, 2007PECOS Enrolled

747 52ND ST, EARLY CHILDHOOD MENTAL HEALTH PROGRAM, OAKLAND, CA 94609(510) 428-8408(510) 238-9764 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 30, 2018, Dec 16, 2015 (2 updates tracked since 2015).

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About Dr. Shawniese Rochelle Tilmon Ph.d. NPPES

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

DR. SHAWNIESE ROCHELLE TILMON PH.D. (NPI 1417154824) is an individual clinical child & adolescent provider in Oakland, California, licensed in California (PSY27424) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417154824

Entity TypeIndividualFemale

Primary Taxonomy103TC2200X

Provider Legal NameDR. SHAWNIESE ROCHELLE TILMONCredential: PH.D.

Location Address747 52ND ST, EARLY CHILDHOOD MENTAL HEALTH PROGRAMOakland, CA 94609-1809

Mailing Address747 52nd St, Psychological ServicesOakland, CA 94609-1809 · (510) 428-8408 · Fax (510) 601-3919

Phone(510) 428-8408

Fax(510) 238-9764

Sole ProprietorNo

Enumeration DateJune 29, 2007

Last NPPES UpdateJune 30, 20232 updates tracked since enumeration

NPPES CertifiedJune 19, 2023

✔ NPI 1417154824 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 · PSY27424

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 ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PSY27424 (CA)

Also ListedPsychologist · FamilyTaxonomy 103TF0000X · License PSY27424 (CA)

747 52ND ST, Oakland, CA 94609

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shawniese Rochelle Tilmon Ph.d. 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.

MRS. SHERYL LEE GARCIA RN

Registered Nurse (Pediatrics)

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-3885

ERICA TRINGALE N.P,

Nurse Practitioner (Pediatrics)

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-3373

MRS. NATALIE PLOTKIN MS, ACPNP

Pediatrics (Pediatric Hematology-Oncology)

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-3484

REBECCA ROMANOV MD

Pediatrics

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-3331

SHELLEY ANNE BULL CPNP-PC

Nurse Practitioner (Pediatrics)

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-3885

KARIDA ADETORO

Student in an Organized Health Care Education/Training Program

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-3885

ANNIE ROQUE

Nurse Practitioner (Pediatrics)

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-4418

CHILDREN'S HOSPITAL & RESEARCH CENTER AT OAKLAND

General Acute Care Hospital

747 52ND ST
OAKLAND, CA 94609

Alameda County (510) 428-3885

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 Shawniese Tilmon's NPI number?

The NPI number for Shawniese Tilmon is 1417154824. It was assigned to this individual provider in the NPPES registry on June 29, 2007.

Where is Shawniese Tilmon located?

Shawniese Tilmon practices at 747 52nd St Early Childhood Mental Health Program, Oakland, CA 94609. The listed phone number is (510) 428-8408.

What is Shawniese Tilmon's specialty?

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

Is Shawniese Tilmon enrolled in Medicare?

Yes. Shawniese Tilmon is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shawniese Tilmon was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.