Carolin Shoham, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY20371 Issued in CA

Practice address

9454 Wilshire Blvd PH 24
Beverly Hills, CA 90212-2937

Phone

(310) 248-2662

NPI assigned

Jun 8, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1306130174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9454 WILSHIRE BLVD PH 24",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122937",
            "telephone_number": "310-248-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9454 WILSHIRE BLVD PH 24",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122937",
            "telephone_number": "310-248-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOHAM",
        "first_name": "CAROLIN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY20371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P10",
            "identifier": "FE352A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ani Shirvanian, MSN-FNP
• Jacqueline Shlain, LMFT
• Stuart Robert Shlosberg
• Helen Shnol, DPM
• Mary Louise Shoff, DMD
• Norman Shorr, M.D.
• Whitney Elizabeth Showler, MA, LMFT
• Carl H Shubs, PHD
• Joseph Sidikaro, M.D., PH. D
• Matthew T Siedhoff, MD

• Psychologist in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.