JERRY SHAFER PHD INC.
NPI 1891723938
Psychologist in Antioch, CA

Active since June 29, 2006
3240 LONE TREE WAY, #104, ANTIOCH, CA 94509(925) 778-1661(925) 778-1661 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jerry Shafer Phd Inc. NPPES

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

JERRY SHAFER PHD INC. (NPI 1891723938) is a healthcare organization registered as a psychologist in Antioch, California and active in the NPI registry since June 2006. The organization lists Jerry Shafer, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1891723938
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameJERRY SHAFER PHD INC.
Location Address3240 LONE TREE WAY, #104Antioch, CA 94509-5559
Mailing Address3240 Lone Tree Way, #104Antioch, CA 94509-5559 · (925) 778-1661 · Fax (925) 778-1661
Fax(925) 778-1661
Organization SubpartNo
Authorized OfficialJerry ShaferPsychologist · (925) 778-1661
Enumeration DateJune 29, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1891723938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY3395
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
3240 LONE TREE WAY, Antioch, CA 94509

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Orthopaedic Surgery (Sports Medicine)
3240 LONE TREE WAY, SUITE 200
ANTIOCH, CA 94509
Durable Medical Equipment & Medical Supplies
3240 LONE TREE WAY
ANTIOCH, CA 94509

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 Jerry Shafer Phd Inc.'s NPI number?

The NPI number for Jerry Shafer Phd Inc. is 1891723938. It was assigned to this organization in the NPPES registry on June 29, 2006.

Where is Jerry Shafer Phd Inc. located?

Jerry Shafer Phd Inc. is located at 3240 Lone Tree Way #104, Antioch, CA 94509. The listed phone number is (925) 778-1661.

What is Jerry Shafer Phd Inc.'s specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Jerry Shafer Phd Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.