Shanna Jordan Zanolini, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY22836 Issued in CA

Practice address

5740 Ralston St Ste 110
Ventura, CA 93003-7840

Phone

(805) 289-3337

Fax

(805) 339-2505

NPI assigned

Jul 19, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shanna Jordan Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Memory Check Psychological Services, a Professional Corporation

  • Clinical Psychologist
  • Carlsbad, CA
  • NPI 1912184219
  Medicare reassignment NPD

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1194038265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5740 RALSTON ST STE 110",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037840",
            "telephone_number": "805-289-3337",
            "fax_number": "805-339-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5740 RALSTON ST STE 110",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037840",
            "telephone_number": "805-289-3337",
            "fax_number": "805-339-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZANOLINI",
        "first_name": "SHANNA",
        "middle_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-19",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY22836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNA",
            "last_name": "JORDAN",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lindsay K Yuen, MD
• Richard Alan Yusim
• Homayoun Zadeh, DDS PHD
• Destiny Zamarripa
• Estefania Del Carmen Zamudio-Sintora
• Annette Lopez Zaragoza
• Edlin Zarate, RBT
• Zarrinkelk and Siavash Dental Partnership
• Hooman Zarrinkelk, DDS
• Alexandra Zavala, M.S. CCC-SLP

• Clinical Psychologist in Ventura, CA
• Providers in Ventura, 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 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.