Anne Shin, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

G79032 Issued in CA

Practice address

1020 Suncast LN Ste 108
El Dorado Hills, CA 95762-9335

Phone

(916) 932-0380

Fax

(916) 932-0381

NPI assigned

Oct 9, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mindful Health Solutions a Professional Medical Corporation

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1881894483
  NPD (past)

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1316299712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 SUNCAST LN STE 108",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629335",
            "telephone_number": "916-932-0380",
            "fax_number": "916-932-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 SUNCAST LN STE 108",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629335",
            "telephone_number": "916-932-0380",
            "fax_number": "916-932-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIN",
        "first_name": "ANNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-09",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G79032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelly Goscha, Licensed Clinical Social Worker, Psychotherapy Servic
• Sarah Sheridan
• Riley Shill, PT, DPT
• Jourdin Shiloh
• Maria Michele Shimizu, NURSE PRACTITIONER
• Nicole M Shorrock, MD
• Mandie Shumaker
• Sierra Medical Partnership
• Stefanie Silva
• Robert W. Silver, P.T.

• Psychiatry Physician in El Dorado Hills, CA
• Providers in El Dorado Hills, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.