DR. JESSICA LONDON L. S. HUFFINE SHADDOCK PSY.D
NPI 1700982576
Psychologist - Clinical in San Francisco, CA

Q: What is Jessica Shaddock's NPI number?

The NPI number for Jessica Shaddock is 1700982576. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Q: What is Jessica Shaddock's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jessica Shaddock was last updated on January 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since September 16, 2006PECOS EnrolledAccepts Medicare Assignment

842 CALIFORNIA ST, SAN FRANCISCO, CA 94108(510) 717-6761 Get Directions Write a Review

NPPES record last updated: January 24, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Jessica London L. S. Huffine Shaddock Psy.d NPPES

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

DR. JESSICA LONDON L. S. HUFFINE SHADDOCK PSY.D (NPI 1700982576) is an individual clinical provider in San Francisco, California, licensed in California (PSY20149) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1700982576

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JESSICA LONDON L. S. HUFFINE SHADDOCKCredential: PSY.D

Location Address842 CALIFORNIA STSan Francisco, CA 94108-2315

Mailing Address2704 Mathews StBerkeley, CA 94702-2216 · (510) 717-6761

Phone(510) 717-6761

Sole ProprietorYes

Medical School CMSOtherGraduated 2002

Enumeration DateSeptember 16, 2006

Last NPPES UpdateJanuary 24, 2011

✔ NPI 1700982576 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 · PSY20149

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.

842 CALIFORNIA ST, San Francisco, CA 94108

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jessica London L. S. Huffine Shaddock Psy.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 ID5698956662

PECOS Enrollment IDI20110223001042

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94108 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$202.35 typical visit price

range $69.00 – $202.35

Typical copayment $50.58 (range $17.25 – $50.58)

Most-billed visit code 99205

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

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

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