Active NPI
Shina Halavi, PHD
- Psychologist
- Los Angeles, CA
National Provider Identifier
1295257061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 31616
- Practice address
- 11040 Santa Monica Blvd
Ste 430
Los Angeles, CA 90025-7581 - Phone
- (310) 845-6316
- NPI assigned
- Jul 12, 2017
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 31616 | CA | Primary |
Addresses
Primary practice location
11040 Santa Monica Blvd
Ste 430
Los Angeles, CA 90025-7581
Mailing address
11040 Santa Monica Blvd
Ste 430
Los Angeles, CA 90025-7581
Other practice location 1
4650 W Sunset Blvd # 53
Los Angeles, CA 90027-6062
Phone (323) 361-3894
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31616 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629072000000",
"number": "1295257061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11040 SANTA MONICA BLVD",
"address_2": "STE 430",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900257581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11040 SANTA MONICA BLVD",
"address_2": "STE 430",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900257581",
"telephone_number": "310-845-6316"
}
],
"practiceLocations": [
{
"address_1": "4650 W Sunset Blvd # 53",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900276062",
"country_code": "US",
"telephone_number": "323-361-3894",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALAVI",
"first_name": "SHINA",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-12",
"last_updated": "2021-08-16",
"certification_date": "2021-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "31616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.