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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TRAVIS SHUBECK PHD
NPI 1942819313
Psychologist - Clinical in Berkeley, CA

Active since July 30, 2020Opted out of Medicare · through Feb 6, 2028
2991 SHATTUCK AVE STE 303, BERKELEY, CA 94705(831) 331-9391 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 29, 2026, Dec 10, 2021, Jul 30, 2020 (3 updates tracked since 2020).

About Travis Shubeck Phd NPPES

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

TRAVIS SHUBECK PHD (NPI 1942819313) is an individual clinical provider in Berkeley, California, licensed in California (34824) and active in the NPI registry since July 2020. He has opted out of Medicare through February 6, 2028.

NPPES Registry Identity

NPI1942819313
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameTRAVIS SHUBECKCredential: PHD
Location Address2991 SHATTUCK AVE STE 303Berkeley, CA 94705-1872
Mailing Address487 Boulevard WayPiedmont, CA 94610-1526 · (831) 331-9391
Phone(831) 331-9391
Sole ProprietorYes
Enumeration DateJuly 30, 2020
Last NPPES UpdateSeptember 29, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1942819313 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 · 34824
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.
2991 SHATTUCK AVE STE 303, Berkeley, CA 94705
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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

Travis Shubeck Phd 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 February 6, 2024 through February 6, 2028.

Opt-Out Effective DateFebruary 6, 2024
Opt-Out In Effect ThroughFebruary 6, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94705 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.

Other Providers at the Same Location NPPES

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

NIKOLUS WHITMIRE PSYD
Psychologist (Clinical)
2991 SHATTUCK AVE STE 303
BERKELEY, CA 94705
Alameda County (415) 289-5928

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 Travis Shubeck's NPI number?

The NPI number for Travis Shubeck is 1942819313. It was assigned to this individual provider in the NPPES registry on July 30, 2020.

Where is Travis Shubeck located?

Travis Shubeck practices at 2991 Shattuck Ave Ste 303, Berkeley, CA 94705. The listed phone number is (831) 331-9391.

What is Travis Shubeck's specialty?

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

Is Travis Shubeck enrolled in Medicare?

No. Travis Shubeck has opted out of Medicare through February 6, 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 Travis Shubeck was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.