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

Dr. Shannon Marie Bates, PSYD

Individual provider Clinical Psychologist · NPI 1073000279

Dr. Shannon Marie Bates, PSYD is a Clinical Psychologist in Los Angeles, California. Qualified in 2016, 10 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
10
Licensed in
CA
In the registry since
2018
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

760 Westwood Plz Ste 48-240
Los Angeles, CA 90024-5055
Phone: (310) 825-0586
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 760 Westwood Plz Ste 47-438c, Los Angeles, CA 90095-8353 — (310) 267-3377

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY29907 (CA)

Record details

NPI number1073000279
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedApril 13, 2018
Last updated in NPPESJuly 19, 2024
Certification dateJuly 19, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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