What is Lisa Staab Shadburn's NPI number?

Lisa Staab Shadburn's National Provider Identifier (NPI) is 1033233952, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Lisa Staab Shadburn's specialty?

Lisa Staab Shadburn is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).

Where is Lisa Staab Shadburn located?

Lisa Staab Shadburn's practice location on file with NPPES is 630 Mission St, South Pasadena, CA 91030-3058.

What is Lisa Staab Shadburn's phone number?

The practice phone number listed in the NPPES registry for Lisa Staab Shadburn is (626) 403-3040.

Is Lisa Staab Shadburn's NPI active?

Yes — Lisa Staab Shadburn's NPI (1033233952) is active in the NPPES registry as of the last update on 2010-03-24.

IndividualActive

Lisa Staab Shadburn, PSY.D.

NPI 1033233952 · Clinical Psychologist · South Pasadena, CA

Lisa Staab Shadburn, PSY.D. is a Clinical Psychologist provider in South Pasadena, CA (NPI 1033233952).

Provider details

NPI number: 1033233952
Entity type: Individual
Primary specialty: Clinical PsychologistBehavioral Health & Social Service Providers
Credential: PSY.D.
Sex: Female
Sole proprietor: Yes
License: PSY17173 (CA)

Specialties & taxonomies

Clinical PsychologistPrimary103TC0700XLicense PSY17173 (CA)
Behavioral Health & Social Service Providers
Psychologist103T00000XLicense PSY17173 (CA)
Behavioral Health & Social Service Providers
Counseling Psychologist103TC1900XLicense PSY17173 (CA)
Behavioral Health & Social Service Providers
Clinical Child & Adolescent Psychologist103TC2200XLicense PSY17173 (CA)
Behavioral Health & Social Service Providers

Profile Score

Detailed profile(89/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

630 Mission St

Suite C2

South Pasadena, CA 91030-3058

Phone: (626) 403-3040

Street-level locationGet directions

More CA providers

Mailing address

1540 E Colorado St

Glendale, CA 91205-1514

Enumerated: 2007-03-17
Last updated: 2010-03-24

Frequently asked questions

What is Lisa Staab Shadburn's NPI number?: Lisa Staab Shadburn's National Provider Identifier (NPI) is 1033233952, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Lisa Staab Shadburn's specialty?: Lisa Staab Shadburn is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
Where is Lisa Staab Shadburn located?: Lisa Staab Shadburn's practice location on file with NPPES is 630 Mission St, South Pasadena, CA 91030-3058.
What is Lisa Staab Shadburn's phone number?: The practice phone number listed in the NPPES registry for Lisa Staab Shadburn is (626) 403-3040.
Is Lisa Staab Shadburn's NPI active?: Yes — Lisa Staab Shadburn's NPI (1033233952) is active in the NPPES registry as of the last update on 2010-03-24.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.