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ANDREA SHELLEY PSY-D
NPI 1922349612
Psychologist - Clinical in San Francisco, CA

Active since March 06, 2013Opted out of Medicare · through Oct 1, 2027
1757 UNION ST, SAN FRANCISCO, CA 94123(415) 515-3211(714) 739-4008 Get Directions Write a Review

NPPES record last updated: March 6, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrea Shelley Psy-d NPPES

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

ANDREA SHELLEY PSY-D (NPI 1922349612) is an individual clinical provider in San Francisco, California, licensed in California (PSY20375) and active in the NPI registry since March 2013. She has opted out of Medicare through October 1, 2027.

NPPES Registry Identity

NPI1922349612
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameANDREA SHELLEYCredential: PSY-D
Location Address1757 UNION STSan Francisco, CA 94123-4447
Mailing AddressPo Box 330251San Francisco, CA 94133-0251 · (415) 515-3211 · Fax (714) 739-4008
Phone(415) 515-3211
Fax(714) 739-4008
Sole ProprietorYes
Enumeration DateMarch 6, 2013
✔ NPI 1922349612 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 · PSY20375
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.
1757 UNION ST, San Francisco, CA 94123
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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

Andrea Shelley Psy-d 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 October 1, 2023 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2023
Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES

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

LORI LAVINTHAL LMFT
Marriage & Family Therapist
1757 UNION ST, 3RD FLOOR
SAN FRANCISCO, CA 94123
San Francisco County (415) 255-4214

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 Andrea Shelley's NPI number?

The NPI number for Andrea Shelley is 1922349612. It was assigned to this individual provider in the NPPES registry on March 6, 2013.

Where is Andrea Shelley located?

Andrea Shelley practices at 1757 Union St, San Francisco, CA 94123. The listed phone number is (415) 515-3211.

What is Andrea Shelley's specialty?

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

Is Andrea Shelley enrolled in Medicare?

No. Andrea Shelley has opted out of Medicare through October 1, 2027. 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 Andrea Shelley was last updated on March 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.