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TYLER SHANNON
NPI 1700133030
Student in an Organized Health Care Education/Training Program in Oakland, CA

Active since August 06, 2012
1440 BROADWAY STE 610, OAKLAND, CA 94612(510) 628-9070 Get Directions Write a Review

NPPES record last updated: August 6, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tyler Shannon NPPES

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

TYLER SHANNON (NPI 1700133030) is an individual student in an organized health care education/training program in Oakland, California and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1700133030
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTYLER SHANNON
Location Address1440 BROADWAY STE 610Oakland, CA 94612-2026
Mailing Address1440 Broadway Ste 610Oakland, CA 94612-2026
Phone(510) 628-9070
Sole ProprietorNo
Enumeration DateAugust 6, 2012
✔ NPI 1700133030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1440 BROADWAY STE 610, Oakland, CA 94612
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Other Providers at the Same Location NPPES 10

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

DR. RAQUEL HENRY PSY.D.
Psychologist
1440 BROADWAY STE 610
OAKLAND, CA 94612
Alameda County (510) 628-9068
DR. DANIEL TAXY PSY.D
Counselor (Mental Health)
1440 BROADWAY STE 610
OAKLAND, CA 94612
Alameda County (888) 524-5122
WALLEAD KHANSHALI
Student in an Organized Health Care Education/Training Program
1440 BROADWAY STE 610
OAKLAND, CA 94612
Alameda County (510) 628-9065
MR. JOSHUA MICHAEL SUSSMAN M.A., M.ED.
Psychologist
1440 BROADWAY STE 610
OAKLAND, CA 94612
Alameda County (510) 628-9065
VERONICA V. SOLARIS MSCP, PSYD CANDIDATE
Counselor (Mental Health)
1440 BROADWAY STE 610
OAKLAND, CA 94612
Alameda County (510) 763-2880
AILEEN AJLOUNI
Counselor (Mental Health)
1440 BROADWAY STE 610
OAKLAND, CA 94612
Alameda County (408) 417-1334
JULIA SHAUB
Psychologist
1440 BROADWAY STE 610
OAKLAND, CA 94612
Alameda County (510) 628-9065
ANGIE GEREIS
Counselor (Mental Health)
1440 BROADWAY STE 610
OAKLAND, CA 94612
Alameda County (510) 628-9065

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 Tyler Shannon's NPI number?

The NPI number for Tyler Shannon is 1700133030. It was assigned to this individual provider in the NPPES registry on August 6, 2012.

Where is Tyler Shannon located?

Tyler Shannon practices at 1440 Broadway Ste 610, Oakland, CA 94612. The listed phone number is (510) 628-9070.

What is Tyler Shannon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Tyler Shannon was last updated on August 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.