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DAVID SHOUP
NPI 1780089243
Counselor - Mental Health in San Leandro, CA

Active since October 27, 2014Opted out of Medicare · through Mar 4, 2028
3081 TEAGARDEN ST, SAN LEANDRO, CA 94577(510) 347-4620(510) 483-4486 Get Directions Write a Review

NPPES record last updated: October 27, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David Shoup NPPES

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

DAVID SHOUP (NPI 1780089243) is an individual mental health provider in San Leandro, California and active in the NPI registry since October 2014. He has opted out of Medicare through March 4, 2028.

NPPES Registry Identity

NPI1780089243
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDAVID SHOUP
Location Address3081 TEAGARDEN STSan Leandro, CA 94577-5720
Mailing Address3081 Teagarden StSan Leandro, CA 94577-5720 · (510) 347-4620 · Fax (510) 483-4486
Phone(510) 347-4620
Fax(510) 483-4486
Sole ProprietorNo
Enumeration DateOctober 27, 2014
✔ NPI 1780089243 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3081 TEAGARDEN ST, San Leandro, CA 94577
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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

David Shoup 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 March 4, 2024 through March 4, 2028.

Opt-Out Effective DateMarch 4, 2024
Opt-Out In Effect ThroughMarch 4, 2028Opt-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.

DEVONNA JACOBS
Counselor
3081 TEAGARDEN ST
SAN LEANDRO, CA 94577
Alameda County (510) 347-4620
MOLLY RUSSO
Counselor (Mental Health)
3081 TEAGARDEN ST
SAN LEANDRO, CA 94577
Alameda County (510) 347-4620
LEILANI HART
Student in an Organized Health Care Education/Training Program
3081 TEAGARDEN ST
SAN LEANDRO, CA 94577
Alameda County (510) 347-4620
MS. BRITTANY SCHNEBLY
Psychologist (School)
3081 TEAGARDEN ST
SAN LEANDRO, CA 94577
Alameda County (510) 347-4620
VICTOR AVALOS
Counselor (Mental Health)
3081 TEAGARDEN ST
SAN LEANDRO, CA 94577
Alameda County (510) 347-4620
MRS. EMMA RUTH CARTER-ALEXANDER
Student in an Organized Health Care Education/Training Program
3081 TEAGARDEN ST
SAN LEANDRO, CA 94577
Alameda County (510) 347-4620
MAISHA DOMINIQUE TAWASHA
Student in an Organized Health Care Education/Training Program
3081 TEAGARDEN ST
SAN LEANDRO, CA 94577
Alameda County (510) 347-4620
DAVIS STREET COMMUNITY CENTER
Community/Behavioral Health
3081 TEAGARDEN ST
SAN LEANDRO, CA 94577
Alameda County (510) 347-4620

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 David Shoup's NPI number?

The NPI number for David Shoup is 1780089243. It was assigned to this individual provider in the NPPES registry on October 27, 2014.

Where is David Shoup located?

David Shoup practices at 3081 Teagarden St, San Leandro, CA 94577. The listed phone number is (510) 347-4620.

What is David Shoup's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is David Shoup enrolled in Medicare?

No. David Shoup has opted out of Medicare through March 4, 2028. 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 David Shoup was last updated on October 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.