Individual provider Active NPI

Veeral Shah, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Riverside, CA
National Provider Identifier
1124751367
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95021551 Issued in CA
Practice address
1845 Chicago Ave Ste B
Riverside, CA 92507-2366
Phone
(951) 465-3664
NPI assigned
Jul 6, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95021551 CA Primary

Addresses

Primary practice location

1845 Chicago Ave Ste B
Riverside, CA 92507-2366

Mailing address

150 N Santa Anita Ave Ste 800
Arcadia, CA 91006-3129
Phone (424) 284-2440

Other practice location 1

150 N Santa Anita Ave Ste 800
Arcadia, CA 91006-3129
Phone (424) 284-2440

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
95021551CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Renewing Hope Strategies CurrentSince Jun 4, 2023 Accepting new patients
Renewing Hope Family Counseling Center, Inc PastSince Feb 26, 2023 Accepting new patients

Locations

1845 Chicago Ave
Ste B
Riverside, CA 92507
Phone (514) 653-6649

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.veeralshah@148377.advancedmd-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1124751367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 N SANTA ANITA AVE STE 800",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063129",
            "telephone_number": "424-284-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 CHICAGO AVE STE B",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072366",
            "telephone_number": "951-465-3664"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 N Santa Anita Ave Ste 800",
            "address_purpose": "LOCATION",
            "city": "Arcadia",
            "state": "CA",
            "postal_code": "910063129",
            "country_code": "US",
            "telephone_number": "424-284-2440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "VEERAL",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-06",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95021551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.