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

Dr. Shannon Elyse Stovall, LPC, PSYD

Individual provider Psychologist · NPI 1861705188

Dr. Shannon Elyse Stovall, LPC, PSYD is a Clinical Psychologist in Fremont, California. Qualified in 2013, 13 years ago. Practices with 3 Prong, a 4-clinician group and accepts Medicare assignment. Licensed in California and Texas.

Years since qualifying
13
Licensed in
CA, TX
In the registry since
2010
Specialties on file
3
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

39159 Paseo Padre Pkwy Ste 121
Fremont, CA 94538-1600
Phone: (510) 952-1190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 26755 (CA)
Counseling Psychologist Taxonomy 103TC1900X · Licence 26755 (CA)
Professional Counselor Taxonomy 101YP2500X · Licence 64885 (TX)

Record details

NPI number1861705188
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC , PSYD
Sole proprietorNo
NPI enumeratedJuly 15, 2010
Last updated in NPPESJanuary 16, 2026
Certification dateJanuary 16, 2026

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice 3 Prong — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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