Active NPI
Azadeh Shakerian, M.A.
- Family Psychologist
- Santa Ana, CA
National Provider Identifier
1235320573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Psychologist
- Practice address
- 405 W 5TH St
Suite 590
Santa Ana, CA 92701-4519 - Phone
- (714) 834-5015
- NPI assigned
- Aug 1, 2007
- 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 |
|---|---|---|---|---|
| Family Psychologist | 103TF0000X | Primary |
Addresses
Primary practice location
405 W 5TH St
Suite 590
Santa Ana, CA 92701-4519
Mailing address
405 W 5TH St
Suite 590
Santa Ana, CA 92701-4519
Phone (714) 834-5015
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185926400000",
"number": "1235320573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 W 5TH ST",
"address_2": "SUITE 590",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927014519",
"telephone_number": "714-834-5015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 W 5TH ST",
"address_2": "SUITE 590",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927014519",
"telephone_number": "714-834-5015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAKERIAN",
"first_name": "AZADEH",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-01",
"last_updated": "2007-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.