DR. CASANDRA CAMACHO SHOTWELL PH.D.
NPI 1669879334
Psychologist in Santa Rosa, CA

Active since November 25, 2014PECOS EnrolledAccepts Medicare Assignment
751 LOMBARDI CT, SANTA ROSA, CA 95407(858) 232-5784 Get Directions Write a Review

NPPES record last updated: January 23, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Casandra Camacho Shotwell Ph.d. NPPES

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

DR. CASANDRA CAMACHO SHOTWELL PH.D. (NPI 1669879334) is an individual psychologist in Santa Rosa, California and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1669879334
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. CASANDRA CAMACHO SHOTWELLCredential: PH.D.
Location Address751 LOMBARDI CTSanta Rosa, CA 95407-6798
Mailing Address751 Lombardi CtSanta Rosa, CA 95407-6798 · (858) 232-5784
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 25, 2014
Last NPPES UpdateJanuary 23, 2022
NPPES CertifiedJanuary 23, 2022
✔ NPI 1669879334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
751 LOMBARDI CT, Santa Rosa, CA 95407

Other Names 1

Former Name (1)Dr. Casandra Camacho Ph.d.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Casandra Camacho Shotwell Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002146818
PECOS Enrollment IDI20240415003590
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.

Medicare Billing Reassignment

Medicare enrollment records show Casandra Shotwell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
751 LOMBARDI COURT
Santa Rosa, CA 95407
  • Reassigned Medicare billing, California enrollment
  • 215 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Nurse Practitioner (Psychiatric/Mental Health)
751 LOMBARDI CT
SANTA ROSA, CA 95407
Family Medicine (Addiction Medicine)
751 LOMBARDI CT
SANTA ROSA, CA 95407
Dentist (Dental Public Health)
751 LOMBARDI CT
SANTA ROSA, CA 95407
Dentist (General Practice)
751 LOMBARDI CT
SANTA ROSA, CA 95407
Registered Nurse
751 LOMBARDI CT
SANTA ROSA, CA 95407
Nurse Practitioner (Family)
751 LOMBARDI CT, SUITE A
SANTA ROSA, CA 95407
Nurse Practitioner (Family)
751 LOMBARDI CT
SANTA ROSA, CA 95407
Nurse Practitioner (Family)
751 LOMBARDI CT, SUITE A
SANTA ROSA, CA 95407

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 Casandra Shotwell's NPI number?

The NPI number for Casandra Shotwell is 1669879334. It was assigned to this individual provider in the NPPES registry on November 25, 2014. The provider is also known as Dr. Casandra Camacho Ph.D..

Where is Casandra Shotwell located?

Casandra Shotwell practices at 751 Lombardi Ct, Santa Rosa, CA 95407. The listed phone number is (858) 232-5784.

What is Casandra Shotwell's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Casandra Shotwell enrolled in Medicare?

Yes. Casandra Shotwell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Casandra Shotwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Casandra Shotwell reassigns Medicare benefits to Santa Rosa Community Health Centers (Santa Rosa, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Casandra Shotwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Casandra Shotwell was last updated on January 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.