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

Thaddeus Peter Shafer

Individual provider Marriage & Family Therapist · NPI 1679443287

Thaddeus Peter Shafer is a Marriage & Family Therapist in San Marino, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

2400 Mission St # 208
San Marino, CA 91108-1632
Phone: (626) 765-1753
Show map & directions

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

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 155389 (CA)

Record details

NPI number1679443287
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 8, 2025
Last updated in NPPESNovember 8, 2025
Certification dateNovember 8, 2025

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