1. Home
  2. Directory
  3. California
  4. Alameda
  5. Psychologist
  6. NPI Profile

DR. SHANNON MARIKO HUDDLESTON PSYD
NPI 1518307164
Psychologist - Clinical in Alameda, CA

Active since June 27, 2013PECOS Enrolled
2325 CLEMENT AVE, ALAMEDA, CA 94501(510) 629-6300(510) 865-1930 Get Directions Write a Review

NPPES record last updated: January 17, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 17, 2020, Jun 21, 2019 (2 updates tracked since 2019).

About Dr. Shannon Mariko Huddleston Psyd NPPES

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

DR. SHANNON MARIKO HUDDLESTON PSYD (NPI 1518307164) is an individual clinical provider in Alameda, California, licensed in California (PSY29981) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1518307164
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SHANNON MARIKO HUDDLESTONCredential: PSYD
Location Address2325 CLEMENT AVEAlameda, CA 94501-7063
Mailing Address2325 Clement AveAlameda, CA 94501-7063 · (510) 629-6300 · Fax (510) 865-1930
Phone(510) 629-6300
Fax(510) 865-1930
Sole ProprietorYes
Enumeration DateJune 27, 2013
Last NPPES UpdateJanuary 17, 20202 updates tracked since enumeration
✔ NPI 1518307164 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 · PSY29981
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.
2325 CLEMENT AVE, Alameda, CA 94501
Open in Google Maps ↗

Other Names 1

Former Name (1)Dr. Shannon Mariko Pratt Psyd

Secondary Practice Locations 2

Location 11516 Oak St Ste 313Alameda, CA 94501-2958 · Phone (510) 946-7986
Location 22961 Summit St Ste C6Oakland, CA 94609-3482 · Phone (510) 982-1000 ext. 706

Other Identifiers 1

Medicaid8121CA

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. Shannon Mariko Huddleston Psyd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

RAMONA QUINONES
Counselor (Addiction (Substance Use Disorder))
2325 CLEMENT AVE
ALAMEDA, CA 94501
Alameda County (510) 522-8363
HEATHER M MANN
Counselor (Mental Health)
2325 CLEMENT AVE
ALAMEDA, CA 94501
Alameda County (510) 629-6300
ANGELA PAULINE PALMERS
Counselor (Mental Health)
2325 CLEMENT AVE
ALAMEDA, CA 94501
Alameda County (510) 629-6300
MR. JACOB ANDREW PRATT MA
Counselor (Mental Health)
2325 CLEMENT AVE
ALAMEDA, CA 94501
Alameda County (510) 629-6367
DIONNE CHILDS
Counselor (Mental Health)
2325 CLEMENT AVE
ALAMEDA, CA 94501
Alameda County (510) 629-6300
EMMANUEL JOHNNIE
Counselor (Addiction (Substance Use Disorder))
2325 CLEMENT AVE
ALAMEDA, CA 94501
Alameda County (510) 629-6300
CHRISTINA T IGLESIA
Counselor (Mental Health)
2325 CLEMENT AVE
ALAMEDA, CA 94501
Alameda County (510) 629-6300
LEON WANN
Counselor (Mental Health)
2325 CLEMENT AVE
ALAMEDA, CA 94501
Alameda County (510) 629-6300

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 Shannon Huddleston's NPI number?

The NPI number for Shannon Huddleston is 1518307164. It was assigned to this individual provider in the NPPES registry on June 27, 2013. The provider is also known as Dr. Shannon Mariko Pratt Psyd.

Where is Shannon Huddleston located?

Shannon Huddleston practices at 2325 Clement Ave, Alameda, CA 94501. The listed phone number is (510) 629-6300.

What is Shannon Huddleston's specialty?

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

Is Shannon Huddleston enrolled in Medicare?

Yes. Shannon Huddleston is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Huddleston was last updated on January 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.