DR. DAVID BRIAN SHAW (PH.D.) – Psychologist, NPI 1376542241

DR. DAVID BRIAN SHAW (PH.D.) is a healthcare provider. based in Poquoson, Virginia. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 0810004175 (VA). The NPI Number for DR. DAVID BRIAN SHAW (PH.D.) is 1376542241

Main info

Male
Sole Proprietor
40 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID BRIAN SHAW (PH.D.)
NPI
1376542241
Phone
(757) 788-9141
Address
538 WYTHE CREEK RD
Enumeration Date
21 July 2005
Last Update Date
14 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7577889141
Graduation Year
1986 (40 years ago)
PAC ID
6204933609
Professional Enrollment ID
I20091217000685
Address ID
VA236662074HA4410XEXXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

668 CLINICAL PSYCHOLOGIST in VA

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Provider Addresses for DR. DAVID BRIAN SHAW (PH.D.)

  • 538, Wythe Creek Road, Rivergate, Poquoson City, Virginia, 23662, United States

    SUITE H

    POQUOSON, VA 236621569

    Phone: (757) 788-9141

    Type: Location

  • 5007C VICTORY BLVD # 387

    YORKTOWN, VA 236935601

    Phone: (757) 788-9141

    Type: Mailing

  • 611 IRONWOOD DR

    YORKTOWN, VA 236935560

    Phone: (757) 788-9141

    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: 2009-12-17

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
I20091217000685IClinical PsychologistVATBD

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 23662)

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Reviews

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Frequently asked questions

What is DR. DAVID BRIAN SHAW (PH.D.)'s NPI number?
DR. DAVID BRIAN SHAW (PH.D.)'s NPI is 1376542241 — the number used across U.S. healthcare to identify this provider.
Is DR. DAVID BRIAN SHAW (PH.D.) shown as active in public data?
Registry records indicate DR. DAVID BRIAN SHAW (PH.D.) maintains an active NPI.
What clinical focus is listed for DR. DAVID BRIAN SHAW (PH.D.)?
At a glance, DR. DAVID BRIAN SHAW (PH.D.) is tied to Psychologist. Clinical services aligned with this taxonomy classification.
Is DR. DAVID BRIAN SHAW (PH.D.) located near Poquoson?
DR. DAVID BRIAN SHAW (PH.D.) currently maps to Poquoson, Virginia in this extract.
Can I trust this NPI listing for DR. DAVID BRIAN SHAW (PH.D.)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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