Shiva Genevieve Ghaed, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY23324 Issued in CA

Practice address

29829 Santa Margarita Pkwy
Suite 500
Rancho Santa Margarita, CA 92688-3622

Phone

(619) 852-1766

NPI assigned

Aug 19, 2010

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)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1063728780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29829 SANTA MARGARITA PKWY",
            "address_2": "SUITE 500",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883622",
            "telephone_number": "619-852-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29829 SANTA MARGARITA PKWY",
            "address_2": "SUITE 500",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883622",
            "telephone_number": "619-852-1766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAED",
        "first_name": "SHIVA",
        "middle_name": "GENEVIEVE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-19",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY23324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.