Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1154556918 Individual Practitioner Male Practitioner

Dr. Mark M. Shaw , PhD

Psychologist - Forensic • Vacaville, CA

Professional Overview & Biography Verified Profile Summary

Dr. Mark Shaw, PhD is a registered healthcare professional specializing in Psychologist - Forensic in Vacaville, CA. Practice services are available at 1600 CALIFORNIA DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1600 California Dr

Vacaville, CA 95687

Telephone 7074496504
Fax 7074537047
Associated Practice Facility / Clinic
🏢 California Medical Facility Facility NPI 1629200613

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Forensic in Vacaville, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.7 Yrs
Regional Practice Density
4 Specialists

Practicing in Vacaville, CA (267 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Psychologist - Forensic Primary Specialty

NUCC Taxonomy Code: 103TF0200X

State License CA PSY 15079

A psychologist whose specialty is characterized by activities primarily intended to provide professional psychological expertise within the judicial and legal systems.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Stirling Price , SOCIAL WORKER

Social Worker - Clinical

NPI 1083756704

SOCIALWORKER

Danica Mcdonough

Student in an Organized Health Care Education/Training Program

NPI 1265813885
Dr. Stacen Velvin , MD

Psychiatry & Neurology - Psychiatry

NPI 1285124743

Doctor of Medicine (M.D.)

Sam Cooc

Social Worker - Clinical

NPI 1487992921

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 22, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location May 22, 2009

Registered at 1600 CALIFORNIA DR, VACAVILLE, CA 95687 (Tel: 7074496504)

📍
Updated Business Mailing Address May 22, 2009

Registered at PO BOX 9811, BERKELEY, CA 947090811

👤
Provider Name / Credentials Updated May 22, 2009

Recorded as MARK SHAW, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2009

Psychologist (License #PSY 15079 in CA)

🟢
Initial NPI Registration & Enumeration May 22, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154556918
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2009
Last Update: May 22, 2009
Sole Proprietor: Yes

Mailing Address

Po Box 9811

Berkeley, CA 947090811

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.