1. Home
  2. Directory
  3. California
  4. San Jose
  5. Psychologist
  6. NPI Profile
Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DR. SHELBY E PEMBERTON PHD
NPI 1821926213
Psychologist - Clinical in San Jose, CA

Active since May 13, 2026
ONE WASHINGTON SQUARESWC 300B, SAN JOSE, CA 95192(408) 924-5678 Get Directions Write a Review

NPPES record added: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shelby E Pemberton Phd NPPES

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

DR. SHELBY E PEMBERTON PHD (NPI 1821926213) is an individual clinical provider in San Jose, California, licensed in California (PSY36520) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1821926213
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SHELBY E PEMBERTONCredential: PHD
Location AddressONE WASHINGTON SQUARESWC 300BSan Jose, CA 95192-0035
Mailing AddressOne Washington Squareswc 300bSan Jose, CA 95192-0035 · (408) 924-5678
Phone(408) 924-5678
Sole ProprietorNo
Enumeration DateMay 13, 2026
NPPES CertifiedMay 13, 2026
✔ NPI 1821926213 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 · PSY36520
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.
ONE WASHINGTON SQUARESWC 300B, San Jose, CA 95192
Open in Google Maps ↗

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 Shelby Pemberton's NPI number?

The NPI number for Shelby Pemberton is 1821926213. It was assigned to this individual provider in the NPPES registry on May 13, 2026.

Where is Shelby Pemberton located?

Shelby Pemberton practices at One Washington Squareswc 300B, San Jose, CA 95192. The listed phone number is (408) 924-5678.

What is Shelby Pemberton's specialty?

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

When was this NPI record last updated?

The NPPES record for Shelby Pemberton was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.