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

Katherine Shadish, PHD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1336589043

Katherine Shadish, PHD is a Clinical Psychologist in San Mateo, California. Qualified in 2017, 9 years ago. Practices with County of San Mateo, a 316-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2013
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

222 W 39th Ave
San Mateo, CA 94403-4364
Phone: (408) 975-2730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 30634 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1336589043
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJune 26, 2013
Last updated in NPPESJanuary 15, 2019
Mailing address222 W 39th Ave, San Mateo, CA 94403-4364

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice County Of San Mateo — 316 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in San Mateo