SHADEED II HASAN – Behavior Analyst, NPI 1003130626
Behavior Analyst
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
4,987 CLINICAL SOCIAL WORKER in CA
Provider Addresses for SHADEED II HASAN
1811 GRAND CANAL BLVD STE 2
STOCKTON, CA 952078107
Phone: (877) 418-2978
Type: Location
2413 2nd St
Eureka, CA 955010811
Phone: (707) 269-9590
Fax: (707) 444-8012
Type: Location
102, Fairway Drive, College Park, Deerfield Beach, Broward County, Florida, 33441, United States
DEERFIELD BEACH, FL 334411817
Phone: (877) 418-2978
Fax: (866) 500-2186
Type: Mailing
Stoneridge Mall Road, Pleasanton, Alameda County, California, 94588, United States
PLEASANTON, CA 945883347
Phone: (877) 418-2978
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-12-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20231218000258 | I | Clinical Social Worker | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 95207)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | DC | |
| Colorectal Surgery (Proctology), General Surgery | LA | |
| - | CA | |
| N E U R O S U R G E R Y | MA | |
| Internal Medicine | CA | |
| Nurse Practitioner | CA | |
| Internal Medicine | CA | |
| Emergency Medicine | CA | |
| - | MA | |
| Emergency Medicine | CA |
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