Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jerry Shafer PHD Inc

Organization Psychologist · NPI 1891723938

Jerry Shafer PHD Inc is a Psychologist in Antioch, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3240 Lone Tree Way #104
Antioch, CA 94509-5559
Phone: (925) 778-1661
Fax: (925) 778-1661
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PSY3395 (CA)

Record details

NPI number1891723938
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Shafer — Psychologist · (925) 778-1661
NPI enumeratedJune 29, 2006
Last updated in NPPESAugust 22, 2020
Mailing address3240 Lone Tree Way, 104, Antioch, CA 94509-5559

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