Shannon Dobbs Psy.D Corp

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

SHANNON DOBBS PSY.D CORP

Practice address

28310 Roadside Dr Ste 203
Agoura Hills, CA 91301-4958

Phone

(310) 428-2431

Fax

(800) 713-1290

NPI assigned

Jan 17, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Shannon Dobbs, PSY.DNPI 1205092046

Title

Clinical Psychologist

Phone

(310) 428-2431

Specialties & licenses 1

Addresses

Other names 1

• SHANNON DOBBS Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon M Dobbs, PSY.D.

  • Clinical Psychologist
  • Agoura Hills, CA
  • NPI 1205092046
  Medicare reassignment NPD Authorized official
• Allison Brown, PSYD

  • Clinical Psychologist
  • Lake Balboa, CA
  • NPI 1003430430
  Medicare reassignment NPD
• Emily Louise Podrasky

  • Marriage & Family Therapist
  • Agoura Hills, CA
  • NPI 1215610688
  NPD

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1154669604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060D E AVENIDA DE LOS ARBOLES # 239",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913621376",
            "telephone_number": "310-428-2431",
            "fax_number": "800-713-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28310 ROADSIDE DR STE 203",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014958",
            "telephone_number": "310-428-2431",
            "fax_number": "800-713-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON DOBBS PSY.D CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DOBBS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "310-428-2431",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHANNON DOBBS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SHANNON DOBBS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Psychologist in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.