Individual provider Active NPI

Evelyne Ruth Shabo-Elbaum, MFC

  • Marriage & Family Therapist
  • Sherman Oaks, CA
National Provider Identifier
1053389163
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC22661 Issued in CA
Practice address
14156 Magnolia Blvd
105
Sherman Oaks, CA 91423-6401
Phone
(818) 986-0866
Fax
(818) 881-0427
NPI assigned
Mar 14, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC22661 CA Primary

Addresses

Primary practice location

14156 Magnolia Blvd
105
Sherman Oaks, CA 91423-6401

Mailing address

14156 Magnolia Blvd
105
Sherman Oaks, CA 91423-6401
Phone (818) 986-0866

Other identifiers 4

IdentifierTypeStateIssuer
A897893OtherVENDOR ID
ZZZ14052ZOtherBLUE SHIELD
174359OtherVALUE OPTIONS
70072513OtherUNITED BEHAVIORAL HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC22661CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1053389163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14156 MAGNOLIA BLVD",
            "address_2": "105",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914236401",
            "telephone_number": "818-986-0866",
            "fax_number": "818-881-0427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14156 MAGNOLIA BLVD",
            "address_2": "105",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914236401",
            "telephone_number": "818-986-0866",
            "fax_number": "818-881-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHABO-ELBAUM",
        "first_name": "EVELYNE",
        "middle_name": "RUTH",
        "credential": "MFC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC22661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VENDOR ID",
            "identifier": "A897893",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ14052Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "174359",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "70072513",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.