Individual provider Active NPI

Tamanna Aroug Shah, PSYD

  • Forensic Psychologist
  • Santa Ana, CA
National Provider Identifier
1265841860
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic PsychologistTaxonomy code 103TF0200X
License
PSY29753 Issued in CA
Practice address
700 Civic Drive
Santa Ana, CA 92701
Phone
(714) 757-5569
NPI assigned
Aug 7, 2014
Last updated
Aug 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Forensic Psychologist 103TF0200X PSY29753 CA Primary

Addresses

Primary practice location

700 Civic Drive
Santa Ana, CA 92701

Mailing address

9246 Lightwave Ave Ste 120
San Diego, CA 92123-6411

Other practice location 1

2600 W Magnolia Blvd
Burbank, CA 91505-3031
Phone (800) 270-5016

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

State licenses

LicenseStateTypeSpecialty
PSY29753CAMDForensic Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychwest, Clinical and Forensic Psychology Forensic Past Accepting new patients
Psychwest, Clinical & Forensic Psychology, Inc. Forensic PastSince Jul 18, 2015 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1265841860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9246 LIGHTWAVE AVE STE 120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921236411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 CIVIC DRIVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92701",
            "telephone_number": "714-757-5569"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2600 W Magnolia Blvd",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915053031",
            "country_code": "US",
            "telephone_number": "800-270-5016",
            "fax_number": "800-680-3626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAH",
        "first_name": "TAMANNA",
        "middle_name": "AROUG",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-07",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "CA",
            "license": "PSY29753",
            "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 18, 2026; 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.