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DR. LYNN DAVILLA SHIELDS PH.D.
NPI 1689768665
Psychologist - Clinical in Lafayette, CA

Active since October 03, 2006Opted out of Medicare · through Oct 20, 2027
3468 MT DIABLO BLVD, SUITE B201, LAFAYETTE, CA 94549(925) 283-5107 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Lynn Davilla Shields Ph.d. NPPES

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

DR. LYNN DAVILLA SHIELDS PH.D. (NPI 1689768665) is an individual clinical provider in Lafayette, California, licensed in California (PSY13805) and active in the NPI registry since October 2006. She has opted out of Medicare through October 20, 2027.

NPPES Registry Identity

NPI1689768665
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. LYNN DAVILLA SHIELDSCredential: PH.D.
Location Address3468 MT DIABLO BLVD, SUITE B201Lafayette, CA 94549-3957
Mailing Address3468 Mt Diablo Blvd, Suite B201Lafayette, CA 94549-3957 · (925) 283-5107
Phone(925) 283-5107
Sole ProprietorYes
Enumeration DateOctober 3, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1689768665 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 · PSY13805
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.
3468 MT DIABLO BLVD, Lafayette, CA 94549
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Lynn Davilla Shields Ph.d. 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 October 20, 2025 through October 20, 2027.

Opt-Out Effective DateOctober 20, 2025
Opt-Out In Effect ThroughOctober 20, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

ARIANA DULBERG LMFT
Marriage & Family Therapist
3468 MT DIABLO BLVD
LAFAYETTE, CA 94549
Contra Costa County (415) 741-0308
ELIZABETH FERREE PH.D.
Psychologist
3468 MT DIABLO BLVD, STE B203
LAFAYETTE, CA 94549
Contra Costa County (925) 284-3665
JILL MARIE WEST R.D.
Dietitian, Registered
3468 MT DIABLO BLVD, SUITE B-201
LAFAYETTE, CA 94549
Contra Costa County (925) 788-2937
MRS. CHRISTINA RENEE NORWOOD MTP, OCS
Physical Therapist
3468 MT DIABLO BLVD, B110
LAFAYETTE, CA 94549
Contra Costa County (925) 284-6150
MR. JOHN AARON FOSTER MS, MFT
Marriage & Family Therapist
3468 MT DIABLO BLVD, STE B201
LAFAYETTE, CA 94549
Contra Costa County (925) 566-4487
DR. DAVID E ROUSLIN PH.D.
Psychologist
3468 MT DIABLO BLVD, SUITE B201
LAFAYETTE, CA 94549
Contra Costa County (510) 644-4131
JOHN DAVID MASON MFT
Marriage & Family Therapist
3468 MT DIABLO BLVD, SUITE B 201
LAFAYETTE, CA 94549
Contra Costa County (925) 942-5727
BRIANNA KENDRA MUNSON BRAUN DPT
Physical Therapist
3468 MT DIABLO BLVD, SUITE B110
LAFAYETTE, CA 94549
Contra Costa County (925) 284-6150

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 Lynn Shields's NPI number?

The NPI number for Lynn Shields is 1689768665. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Lynn Shields located?

Lynn Shields practices at 3468 Mt Diablo Blvd Suite B201, Lafayette, CA 94549. The listed phone number is (925) 283-5107.

What is Lynn Shields's specialty?

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

Is Lynn Shields enrolled in Medicare?

No. Lynn Shields has opted out of Medicare through October 20, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Lynn Shields was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.