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

Stuart M Shaffer, PHD

Individual provider Clinical Neuropsychologist · NPI 1366588675

Stuart M Shaffer, PHD is a Clinical Psychologist in San Pedro, California. Qualified in 1967, 59 years ago. Accepts Medicare assignment. Licensed in California.

Years since qualifying
59
Licensed in
CA
In the registry since
2007
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.

See every abbreviation used in this directory →

Practice location Address checks out

753 W Basin St
San Pedro, CA 90731-1301
Phone: (310) 548-6868
Fax: (310) 548-6833
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY5613 (CA)
Clinical Neuropsychologist Taxonomy 103G00000X · Licence PSY5613 (CA)

Record details

NPI number1366588675
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJanuary 30, 2007
Last updated in NPPESMarch 5, 2024
Certification dateMarch 5, 2024
Mailing address753 W Basin St, San Pedro, CA 90731-1301

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1967 (59 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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