DR. SHANNON DUBACH PSYD
NPI 1992967996
Psychologist - Clinical in Berkeley, CA

Q: What is Shannon Dubach's NPI number?

The NPI number for Shannon Dubach is 1992967996. It was assigned to this individual provider in the NPPES registry on June 30, 2008.

Q: What is Shannon Dubach'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 Shannon Dubach was last updated on January 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 June 30, 2008PECOS EnrolledAccepts Medicare Assignment

2041 BANCROFT WAY STE 307, BERKELEY, CA 94704(510) 686-3773(510) 649-1133 Get Directions Write a Review

NPPES record last updated: January 28, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Dr. Shannon Dubach Psyd NPPES

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

DR. SHANNON DUBACH PSYD (NPI 1992967996) is an individual clinical provider in Berkeley, California, licensed in California (PSY24793) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1992967996

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. SHANNON DUBACHCredential: PSYD

Location Address2041 BANCROFT WAY STE 307Berkeley, CA 94704-1406

Mailing Address2041 Bancroft Way Ste 307Berkeley, CA 94704-1406 · (510) 686-3773 · Fax (510) 649-1133

Phone(510) 686-3773

Fax(510) 649-1133

Sole ProprietorYes

Medical School CMSOtherGraduated 2010

Enumeration DateJune 30, 2008

Last NPPES UpdateJanuary 28, 2019

✔ NPI 1992967996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY24793

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.

Also ListedPsychologist · Adult Development & AgingTaxonomy 103TA0700X · License PSY24793 (CA)

Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License PSY24793 (CA)

2041 BANCROFT WAY STE 307, Berkeley, CA 94704

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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 and accepts Medicare assignment

Dr. Shannon Dubach Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890036917

PECOS Enrollment IDI20190417002201

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 94704 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.

MS. AUDREY H WEBB MSW

Social Worker (Clinical)

2041 BANCROFT WAY STE 307
BERKELEY, CA 94704

Alameda County (510) 287-5988

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 Shannon Dubach's NPI number?

The NPI number for Shannon Dubach is 1992967996. It was assigned to this individual provider in the NPPES registry on June 30, 2008.

Where is Shannon Dubach located?

Shannon Dubach practices at 2041 Bancroft Way Ste 307, Berkeley, CA 94704. The listed phone number is (510) 686-3773.

What is Shannon Dubach's specialty?

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

Is Shannon Dubach enrolled in Medicare?

Yes. Shannon Dubach is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shannon Dubach was last updated on January 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.