Jerry Shafer Phd Inc.

Jerry Shafer Phd Inc. is a healthcare organization registered as Psychologist in Antioch, CA, holding Type 2 (organization) NPI 1891723938 since 2006. The authorized official on file is Jerry Shafer, Psychologist.

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NPI	1891723938
Entity type	Organization (Type 2)
Legal business name	Jerry Shafer Phd Inc.
Practice address	3240 LONE TREE WAY, #104, Antioch, CA, 94509
Phone	9257781661
Fax	9257781661
Enumeration date	2006-06-29
Last updated in NPPES	2020-08-22

Authorized official

Name	Jerry Shafer
Title	Psychologist
Phone	9257781661

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
103T00000X	Psychologist	Primary	PSY3395	CA

Copy-ready billing details

Provider: Jerry Shafer Phd Inc.
NPI: 1891723938
Taxonomy: 103T00000X (Psychologist)
Address: 3240 LONE TREE WAY, #104, Antioch, CA, 94509

Providers at this address

NPI	Name	Type	Specialty	Location
1407167703	Adam Brooks	Individual	Sports Medicine (Orthopaedic Surgery) Physician	Antioch, CA
1972977759	Pacific Medical, Inc.	Organization	Durable Medical Equipment & Medical Supplies	Antioch, CA

Verify this record

Cross-check NPI 1891723938 against the authoritative CMS record: view Jerry Shafer Phd Inc. on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Jerry Shafer Phd Inc. located?

The practice location on file with NPPES is in Antioch, CA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.