Active NPI
Sung Shin, PPS
- School Psychologist
- Santa Paula, CA
National Provider Identifier
1144012865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 404 N 6TH St
Santa Paula, CA 93060-2099 - Phone
- (804) 525-4400
- NPI assigned
- May 19, 2025
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | CA | Primary |
Addresses
Primary practice location
404 N 6TH St
Santa Paula, CA 93060-2099
Mailing address
404 N 6TH St
Santa Paula, CA 93060-2099
Phone (804) 525-4400
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747612800000",
"number": "1144012865",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 N 6TH ST",
"city": "SANTA PAULA",
"state": "CA",
"postal_code": "930602099",
"telephone_number": "804-525-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 N 6TH ST",
"city": "SANTA PAULA",
"state": "CA",
"postal_code": "930602099",
"telephone_number": "804-525-4400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIN",
"first_name": "SUNG",
"name_prefix": "Ms.",
"credential": "PPS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-05-19",
"last_updated": "2025-05-19",
"certification_date": "2025-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Paula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.