Courtney Shen Psychology, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

COURTNEY SHEN PSYCHOLOGY, INC.

Practice address

232 W Main St Ste 103
Tustin, CA 92780-7712

Phone

(714) 462-3108

NPI assigned

Feb 7, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Courtney Shen Deshetler, PSYDNPI 1972146108

Title

Licensed Psychologist

Phone

(714) 462-3108

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Courtney Shen Deshetler, PSYD

  • Clinical Psychologist
  • Tustin, CA
  • NPI 1972146108
  NPD Authorized official

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

{
    "created_epoch": "1581033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1306478375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 E CHAPMAN AVE # 354",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928693812",
            "telephone_number": "714-785-9592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 W MAIN ST STE 103",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927807712",
            "telephone_number": "714-462-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURTNEY SHEN PSYCHOLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-07",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "DESHETLER",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_middle_name": "SHEN",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "714-462-3108",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph William Costello, MFT
• Ronald W. Cotliar, M.D.
• Wendy Elizabeth Coto
• Jasmine Saad Cotta, MA, LMFT
• County of Orange
• Coury & Buehler Physical Therapy - Tustin/Santa Ana, Inc.
• Coury & Buehler Physical Therapy, Inc.
• Gail Bailey Cox, MA
• CP Marketing & Consulting SVCS, Inc.
• Craig C. Thiede DDS

• Mental Health Clinic/Center (Including Community Mental Health Center) in Tustin, CA
• Providers in Tustin, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.