SHALIZA SHOREY
NPI 1619026739
Clinical Neuropsychologist in Oakland, CA

Active since January 09, 2007Opted out of Medicare · through Jul 1, 2028
3900 BROADWAY BLDG 1, OAKLAND, CA 94611(510) 752-8291 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Shaliza Shorey NPPES

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

SHALIZA SHOREY (NPI 1619026739) is an individual clinical neuropsychologist in Oakland, California, licensed in California (PSY18486) and active in the NPI registry since January 2007. She has opted out of Medicare through July 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1619026739
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameSHALIZA SHOREY
Location Address3900 BROADWAY BLDG 1Oakland, CA 94611-5616
Mailing Address301 Bowsman CtOakland, CA 94601-2853
Sole ProprietorNo
Enumeration DateJanuary 9, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1619026739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in CA · PSY18486
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
3900 BROADWAY BLDG 1, Oakland, CA 94611

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Shaliza Shorey has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2016 through July 1, 2028.

Opt-Out Effective DateJuly 1, 2016
Opt-Out In Effect ThroughJuly 1, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Shaliza Shorey's NPI number?

The NPI number for Shaliza Shorey is 1619026739. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Shaliza Shorey located?

Shaliza Shorey practices at 3900 Broadway Bldg 1, Oakland, CA 94611. The listed phone number is (510) 752-8291.

What is Shaliza Shorey's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Shaliza Shorey enrolled in Medicare?

No. Shaliza Shorey has opted out of Medicare through July 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Shaliza Shorey was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.