Organization Active NPI

Megaspan Inc.

  • Clinical Psychologist
  • Mountain View, CA
National Provider Identifier
1205053873
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY14463 Issued in CA
Legal business name
MEGASPAN INC.
Practice address
2672 Bayshore Pkwy
Suite 602
Mountain View, CA 94043
Phone
(650) 856-3045
NPI assigned
Apr 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Dalia Shiran, PH.D.NPI 1720205396
Title
Co-Owner
Phone
(650) 856-3045

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X PSY14463 CA Primary

Addresses

Primary practice location

2672 Bayshore Pkwy
Suite 602
Mountain View, CA 94043

Mailing address

744 Seminole Way
Palo Alto, CA 94303-4722
Phone (650) 856-3045

National Provider Directory

National Provider Directory

Locations

2672 Bayshore Pkwy
Ste 602
Mountain View, CA 94043
Phone (650) 450-0102

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205053873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 SEMINOLE WAY",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943034722",
            "telephone_number": "650-856-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2672 BAYSHORE PKWY",
            "address_2": "SUITE 602",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "94043",
            "telephone_number": "650-856-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEGASPAN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHIRAN",
        "authorized_official_first_name": "DALIA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "650-856-3045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY14463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.