Active NPI
Michael Shiffman, PH.D.
- Specialist
- Encino, CA
National Provider Identifier
1134556947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- SETI
- Practice address
- 4956 Gaviota Ave
Encino, CA 91436-1425 - Phone
- (310) 445-2160
- Fax
- (866) 887-9003
- NPI assigned
- Oct 11, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | SETI | CA | Primary |
Addresses
Primary practice location
4956 Gaviota Ave
Encino, CA 91436-1425
Mailing address
4956 Gaviota Ave
Encino, CA 91436-1425
Phone (310) 445-2160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SETI | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Insight and Social Justice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Counselor
- Encino, CA
- NPI 1164844759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381449600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381449600000",
"number": "1134556947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4956 GAVIOTA AVE",
"city": "ENCINO",
"state": "CA",
"postal_code": "914361425",
"telephone_number": "310-445-2160",
"fax_number": "866-887-9003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4956 GAVIOTA AVE",
"city": "ENCINO",
"state": "CA",
"postal_code": "914361425",
"telephone_number": "310-445-2160",
"fax_number": "866-887-9003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIFFMAN",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-10-11",
"last_updated": "2013-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "SETI",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.