TREVAR SHYSHKA
NPI 1609324433
Counselor - Addiction (Substance Use Disorder) in San Jose, CA

Active since September 21, 2016
810 PALM ST, SAN JOSE, CA 95110(408) 500-6229(408) 294-5072 Get Directions Write a Review

NPPES record last updated: September 21, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Trevar Shyshka NPPES

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

TREVAR SHYSHKA (NPI 1609324433) is an individual addiction (substance use disorder) provider in San Jose, California, licensed in California (430080AN) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1609324433
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameTREVAR SHYSHKA
Location Address810 PALM STSan Jose, CA 95110-3030
Mailing Address810 Palm StSan Jose, CA 95110-3030 · (408) 500-6229 · Fax (408) 294-5072
Fax(408) 294-5072
Sole ProprietorNo
Enumeration DateSeptember 21, 2016
NPI 1609324433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in CA · 430080AN
810 PALM ST, San Jose, CA 95110

Other Identifiers 1

Other430080ANCA · Dhcs California

Other Providers at the Same Location NPPES

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

Substance Abuse Rehabilitation Facility (Substance Abuse Treatment, Children)
810 PALM ST
SAN JOSE, CA 95110

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 Trevar Shyshka's NPI number?

The NPI number for Trevar Shyshka is 1609324433. It was assigned to this individual provider in the NPPES registry on September 21, 2016.

Where is Trevar Shyshka located?

Trevar Shyshka practices at 810 Palm St, San Jose, CA 95110. The listed phone number is (408) 500-6229.

What is Trevar Shyshka'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 Trevar Shyshka was last updated on September 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.