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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1487206520

Ian Michael Shaw-Zak is a Student in an Organized Health Care Education/Training Program in Berkeley, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

2015 Virginia St
Berkeley, CA 94709-2229
Phone: (415) 456-1050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 124589 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1487206520
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 9, 2019
Last updated in NPPESMarch 16, 2021
Certification dateMarch 16, 2021

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