DR. SHANNON TRAN (PHD) – Clinical Psychologist, NPI 1609938877

DR. SHANNON TRAN (PHD) is a healthcare provider. based in Union city, California. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 17474 (CA). The NPI Number for DR. SHANNON TRAN (PHD) is 1609938877

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. SHANNON TRAN (PHD)
NPI
1609938877
Phone
(510) 675-3306
Address
3555 WHIPPLE RD
Enumeration Date
14 December 2006
Last Update Date
3 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5103071500
Graduation Year
1999 (27 years ago)
PAC ID
0143475772
Group Practice PAC ID
8921910225
Professional Enrollment ID
I20130304000561
Address ID
CA948013143RI901XXAVEX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

4,434 CLINICAL PSYCHOLOGIST in CA

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Provider Addresses for DR. SHANNON TRAN (PHD)

  • 3555, Whipple Road, Union City, Alameda County, California, 94587, United States

    DEPARTMENT OF PSYCHIATRY

    UNION CITY, CA 945871507

    Phone: (510) 675-3306

    Fax: (510) 675-4648

    Mailing address matches the actual address.

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: 2013-03-04

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130304000561IClinical PsychologistCATBD

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.

Verify on CMS Revalidation Lookup Tool

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 94587)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921910225View full group profile
NameSpecialtyState
Emergency MedicineDC
-CA
N E U R O S U R G E R YMA
Internal MedicineCA
Nurse PractitionerCA
Internal MedicineCA
-MA
Emergency MedicineCA
-CA
Internal MedicineNY

Reviews

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Frequently asked questions

What is DR. SHANNON TRAN (PHD)'s NPI number?
DR. SHANNON TRAN (PHD)'s NPI is 1609938877 — the number used across U.S. healthcare to identify this provider.
Is DR. SHANNON TRAN (PHD) still an active registrant?
DR. SHANNON TRAN (PHD) carries an active NPI according to the public dataset.
What area of care is associated with DR. SHANNON TRAN (PHD)?
DR. SHANNON TRAN (PHD)'s record emphasizes Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. SHANNON TRAN (PHD)?
Travel planning: use Union City, California as the reference point for DR. SHANNON TRAN (PHD), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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