Active NPI
Variations Psychology PC
- Psychologist
- Newport Beach, CA
National Provider Identifier
1285121178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 23107
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.