DR. TRACY DENISE SHAW PH.D.
NPI 1982727392
Psychologist - Prescribing (Medical) in Culver City, CA

Q: What is Tracy Shaw's NPI number?

The NPI number for Tracy Shaw is 1982727392. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Q: What is Tracy Shaw's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

Q: When was this NPI record last updated?

The NPPES record for Tracy Shaw was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since April 09, 2007

5855 GREEN VALLEY CIR, SUITE 109, CULVER CITY, CA 90230(310) 641-3600 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Tracy Denise Shaw Ph.d. NPPES

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

DR. TRACY DENISE SHAW PH.D. (NPI 1982727392) is an individual prescribing (medical) provider in Culver City, California, licensed in California (PSY 12548) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1982727392

Entity TypeIndividualFemale

Primary Taxonomy103TP0016X

Provider Legal NameDR. TRACY DENISE SHAWCredential: PH.D.

Location Address5855 GREEN VALLEY CIR, SUITE 109Culver City, CA 90230-6946

Mailing Address5855 Green Valley Cir, Suite 109Culver City, CA 90230-6946 · (310) 641-3600

Phone(310) 641-3600

Sole ProprietorYes

Enumeration DateApril 9, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1982727392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers

Taxonomy Code103TP0016X

License✔ Licensed in CA · PSY 12548

Definition

A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.

5855 GREEN VALLEY CIR, Culver City, CA 90230

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Other Providers at the Same Location NPPES 4

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

KRISTEN L ZALESKI LCSW

Social Worker (Clinical)

5855 GREEN VALLEY CIR
CULVER CITY, CA 90230

Los Angeles County (310) 569-2954

PAMELA ELAINE ASHE PH.D.

Psychologist

5855 GREEN VALLEY CIR, SUITE 202
CULVER CITY, CA 90230

Los Angeles County (310) 365-2934

HEALTH DEVELOPMENT SERVICES

Psychologist

5855 GREEN VALLEY CIR, SUITE 101
CULVER CITY, CA 90230

Los Angeles County (310) 410-9504

NEYSA DEMANN

Marriage & Family Therapist

5855 GREEN VALLEY CIR
CULVER CITY, CA 90230

Los Angeles County (310) 486-2963

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 Tracy Shaw's NPI number?

The NPI number for Tracy Shaw is 1982727392. It was assigned to this individual provider in the NPPES registry on April 9, 2007.

Where is Tracy Shaw located?

Tracy Shaw practices at 5855 Green Valley Cir Suite 109, Culver City, CA 90230. The listed phone number is (310) 641-3600.

What is Tracy Shaw's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

When was this NPI record last updated?

The NPPES record for Tracy Shaw was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.