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Active NPI 1003130626 Individual Practitioner Male Practitioner

Shadeed Hasan

Behavior Analyst • Stockton, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Shadeed Hasan is a certified Behavior Analyst practicing in Stockton, CA. With approximately 13 years of clinical experience since completing medical education in 2013, Shadeed Hasan delivers high-quality medical care to the local community at 1811 GRAND CANAL BLVD STE 2.

Shadeed Hasan is affiliated with Permanente Medical Group Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

1811 Grand Canal Blvd Ste 2

Stockton, CA 952078107

Telephone 8774182978
Associated Practice Facility / Clinic
🏢 Butterfly Effects Facility NPI 1548907553

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Behavior Analyst in Stockton, CA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs Matches City Avg
City Avg: 13.0 Yrs
State Avg: 8.8 Yrs
Regional Practice Density
172 Specialists

Practicing in Stockton, CA (20508 Statewide)

Telehealth Adoption Rate
0.6% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hasan (13 Years) 13 Yrs
Stockton Specialty Average (13.0 Years) 13.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2021-04-23
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

State License CA 1-16-22697

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Counselor

NUCC Taxonomy Code: 101Y00000X

State License CA 36287

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

State License CA LCSW84937

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Permanente Medical Group Inc

1761 Broadway St, Vallejo, CA 945892226

Phone: 7076452700

Secondary Practice Locations

2413 2nd St

Eureka, CA 955010811

Phone: 7072699590

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003268590

Master of Science, Board Certified Behavior Analyst

NPI 1003328030

Master of Science

Briana Guzman

Behavior Technician

NPI 1003395773
Elise Escobar

Behavior Analyst

NPI 1003397225
Haley Lessig

Behavior Technician

NPI 1003404807
Jessica Ayetin

Behavior Technician

NPI 1003409533

Career & Practice History Timeline

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

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2021

Behavior Analyst (License #1-16-22697 in CA)

📍
Updated Practice Location April 23, 2021

Registered at 1811 GRAND CANAL BLVD STE 2, STOCKTON, CA 952078107 (Tel: 8774182978)

📍
Updated Practice Location February 28, 2019

Registered at 5820 STONERIDGE MALL RD STE 205, PLEASANTON, CA 945883347 (Tel: 8774182978)

📍
Updated Business Mailing Address February 28, 2019

Registered at 500 FAIRWAY DR STE 102, DEERFIELD BEACH, FL 334411817 (Tel: 8774182978)

NPI Profile Active July 31, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 31, 2013

Registered at 2413 2ND ST, EUREKA, CA 955010811 (Tel: 7072699590)

📍
Updated Business Mailing Address July 31, 2013

Registered at 904 G ST, EUREKA, CA 955011829

👤
Provider Name / Credentials Updated July 31, 2013

Recorded as SHADEED HASAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2013

Counselor (License #36287 in CA)

🟢
Initial NPI Registration & Enumeration March 25, 2010

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: 1003130626
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 25, 2010
Last Update: December 28, 2021
Sole Proprietor: No

Mailing Address

500 Fairway Dr Ste 102

Deerfield Beach, FL 334411817

Phone: 8774182978

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.