Active NPI
Elena Shanley, MFTI
- Marriage & Family Therapist
- Valencia, CA
National Provider Identifier
1083980759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 71125
- Practice address
- 25852 McBean Pkwy
#738
Valencia, CA 91355-3705 - Phone
- (661) 388-0309
- NPI assigned
- Mar 28, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 71125 | CA | Primary |
Addresses
Primary practice location
25852 McBean Pkwy
#738
Valencia, CA 91355-3705
Mailing address
25852 McBean Pkwy
#738
Valencia, CA 91355-3705
Phone (661) 388-0309
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
| License | State | Type | Specialty |
|---|---|---|---|
| 71125 | CA | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1332892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1353888000000",
"number": "1083980759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25852 MCBEAN PKWY",
"address_2": "#738",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913553705",
"telephone_number": "661-388-0309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25852 MCBEAN PKWY",
"address_2": "#738",
"city": "VALENCIA",
"state": "CA",
"postal_code": "913553705",
"telephone_number": "661-388-0309"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHANLEY",
"first_name": "ELENA",
"name_prefix": "Mrs.",
"credential": "MFTI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-28",
"last_updated": "2012-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "71125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valencia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.