Shabnam Shabafroozan

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

141936 Issued in CA

Practice address

1100 W Town and Country Rd Ste 1250
Orange, CA 92868-4633

Phone

(714) 517-8962

NPI assigned

Mar 20, 2024

Last updated

Mar 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1104686674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 ORCHARD DR APT F",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928707426",
            "telephone_number": "714-829-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W TOWN AND COUNTRY RD STE 1250",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684633",
            "telephone_number": "714-517-8962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHABAFROOZAN",
        "first_name": "SHABNAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "14337",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "141936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Severson
• Kenia J Sevilla
• Katherine Seward
• Christine Sewell, BCBA
• SG Homecare, Inc
• Saman Shabani
• Afshin Shabanie, M.D.
• Grant Joseph Dat Chiu Shafer, MD
• Mia Shaffer
• Seyed Mohammad Hossein Shafie, MD PHD

• Marriage & Family Therapist in Orange, CA
• Providers in Orange, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.