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

Dr. Shannon Dubach, PSYD

Individual provider Adult Development & Aging Psychologist · NPI 1992967996

Dr. Shannon Dubach, PSYD is a Clinical Psychologist in Berkeley, California. Qualified in 2010, 16 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
16
Licensed in
CA
In the registry since
2008
Specialties on file
3
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

See every abbreviation used in this directory →

Practice location Address checks out

2041 Bancroft Way Ste 307
Berkeley, CA 94704-1406
Phone: (510) 686-3773
Fax: (510) 649-1133
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY24793 (CA)
Adult Development & Aging Psychologist Taxonomy 103TA0700X · Licence PSY24793 (CA)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence PSY24793 (CA)

Record details

NPI number1992967996
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedJune 30, 2008
Last updated in NPPESJanuary 28, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount