SHARON STAFANSON PSY.D.
NPI 1669639936
Psychologist in Oakland, CA

Active since May 22, 2008
5435 COLLEGE AVE, SUITE 202-6, OAKLAND, CA 94618(510) 219-3029 Get Directions Write a Review

NPPES record last updated: May 22, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sharon Stafanson Psy.d. NPPES

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

SHARON STAFANSON PSY.D. (NPI 1669639936) is an individual psychologist provider in Oakland, California, licensed in California (PSY 21600) and active in the NPI registry since May 2008.Information from the official NPPES registry record, last updated May 22, 2008.

NPPES Registry Identity

NPI1669639936
Entity TypeIndividualFemale
Provider Legal NameSHARON STAFANSONCredential: PSY.D.
Location Address5435 COLLEGE AVE, SUITE 202-6Oakland, CA 94618-1598
Mailing Address154 Ricardo AvePiedmont, CA 94611-3938 · (510) 219-3029
Sole ProprietorYes
Enumeration DateMay 22, 2008
NPI 1669639936 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Psychologist

Taxonomy 103T00000X · Behavioral Health & Social Service Providers

Licensed in CA · PSY 21600

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human… Show more

5435 COLLEGE AVE, Oakland, CA 94618

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 02-19-2025

  • Opt-Out End Date: 02-19-2027

  • Eligible to Order and Refer? No

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Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Marriage & Family Therapist
5435 COLLEGE AVE, SUITE 202-5
OAKLAND, CA 94618
Social Worker (Clinical)
5435 COLLEGE AVE, SUITE 107
OAKLAND, CA 94618
Psychologist (Clinical)
5435 COLLEGE AVE, SUITE 202
OAKLAND, CA 94618
Social Worker (Clinical)
5435 COLLEGE AVE, 103
OAKLAND, CA 94618
Psychologist
5435 COLLEGE AVE, SUITE 202-6
OAKLAND, CA 94618
Psychologist (Clinical)
5435 COLLEGE AVE, #201
OAKLAND, CA 94618
Psychologist
5435 COLLEGE AVE, SUITE 105
OAKLAND, CA 94618
Psychologist (Clinical)
5435 COLLEGE AVE, SUITE 104
OAKLAND, CA 94618
Psychologist (Clinical)
5435 COLLEGE AVE, SUITE 100-2
OAKLAND, CA 94618
Psychologist (Cognitive & Behavioral)
5435 COLLEGE AVE, SUITE 102
OAKLAND, CA 94618
Marriage & Family Therapist
5435 COLLEGE AVE, SUITE 110
OAKLAND, CA 94618
Marriage & Family Therapist
5435 COLLEGE AVE, SUITE 202-7
OAKLAND, CA 94618

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669639936, enumerated as an "individual" on May 22, 2008.

The provider is located at 5435 COLLEGE AVE SUITE 202-6 OAKLAND, CA 94618 and the phone number is (510) 219-3029.

Psychologist with taxonomy code 103T00000X.