GARY EVAN SHALLER PH.D.
NPI 1841520079
Psychologist - Clinical in Richmond, CA

Q: What is Gary Shaller's NPI number?

The NPI number for Gary Shaller is 1841520079. It was assigned to this individual provider in the NPPES registry on January 11, 2010.

Q: What is Gary Shaller'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 Gary Shaller was last updated on December 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 11, 2010PECOS Enrolled

901 NEVIN AVE, RICHMOND, CA 94801(510) 307-1687(510) 307-1615 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Gary Evan Shaller Ph.d. NPPES

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

GARY EVAN SHALLER PH.D. (NPI 1841520079) is an individual clinical provider in Richmond, California, licensed in California (PSY21957) and active in the NPI registry since January 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841520079

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameGARY EVAN SHALLERCredential: PH.D.

Location Address901 NEVIN AVERichmond, CA 94801-3143

Mailing Address901 Nevin AveRichmond, CA 94801-3143 · (510) 307-1687 · Fax (510) 307-1615

Phone(510) 307-1687

Fax(510) 307-1615

Sole ProprietorNo

Enumeration DateJanuary 11, 2010

Last NPPES UpdateDecember 30, 2021

✔ NPI 1841520079 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 · PSY21957

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.

901 NEVIN AVE, Richmond, CA 94801

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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 (PECOS)

Gary Evan Shaller Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 94801 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.

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