Joy Lynette Shabandar, PHD, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2998 Issued in CA

Practice address

22600 Savi Ranch Pkwy Ste A3
Yorba Linda, CA 92887-4606

Phone

(918) 261-5112

NPI assigned

Feb 6, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1043350697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22600 SAVI RANCH PKWY STE A3",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928874606",
            "telephone_number": "918-261-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22600 SAVI RANCH PKWY STE A3",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928874606",
            "telephone_number": "918-261-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHABANDAR",
        "first_name": "JOY",
        "middle_name": "LYNETTE",
        "credential": "PHD, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2022-07-21",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "2998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Yorba Linda, CA
• Providers in Yorba Linda, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.