Organization Active NPI

Variations Psychology PC

  • Psychologist
  • Newport Beach, CA
National Provider Identifier
1285121178
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
23107 Issued in CA
Legal business name
VARIATIONS PSYCHOLOGY PC
Practice address
4000 Macarthur Blvd
East Tower, Suite 600
Newport Beach, CA 92660
Phone
(949) 424-5707
Fax
(949) 209-4544
NPI assigned
Apr 17, 2018
Last updated
Apr 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Authorized official

Name
Dr. Marta M. Shinn, PH.D.
Title
Licensed Psychologist, President
Phone
(949) 424-5707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 23107 CA Primary

Addresses

Primary practice location

4000 Macarthur Blvd
East Tower, Suite 600
Newport Beach, CA 92660

Mailing address

491 Cabrillo St
Costa Mesa, CA 92627
Phone (949) 432-1790

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523923200000",
    "number": "1285121178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 CABRILLO ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "92627",
            "telephone_number": "949-432-1790",
            "fax_number": "949-209-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MACARTHUR BLVD",
            "address_2": "EAST TOWER, SUITE 600",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "92660",
            "telephone_number": "949-424-5707",
            "fax_number": "949-209-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VARIATIONS PSYCHOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-04-17",
        "status": "A",
        "authorized_official_last_name": "SHINN",
        "authorized_official_first_name": "MARTA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST, PRESIDENT",
        "authorized_official_telephone_number": "949-424-5707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "23107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.