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

Shubir Dutt

Individual provider Clinical Neuropsychologist · NPI 1699667584

Shubir Dutt is a Clinical Psychologist in San Francisco, California. Qualified in 2018, 8 years ago. Practices with University of California San Francisco, a 1,793-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

1651 4th St Ste 212
San Francisco, CA 94158-2324
Phone: (415) 353-2057
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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 35988 (CA)
Clinical Neuropsychologist Taxonomy 103G00000X

Record details

NPI number1699667584
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 16, 2025
Last updated in NPPESJuly 16, 2025
Certification dateJuly 1, 2025
Mailing address675 Nelson Rising Ln Ste 190, San Francisco, CA 94143-0003

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice University Of California San Francisco — 1793 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in San Francisco