Tara Mae Shultz

Primary specialty

PsychologistTaxonomy code 103T00000X

License

36038 Issued in CA

Practice address

7111 Santa Monica Blvd Ste B-227
West Hollywood, CA 90046-3445

Phone

(310) 989-4754

NPI assigned

Apr 22, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1316529191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 SANTA MONICA BLVD STE B-227",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900463445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 SANTA MONICA BLVD STE B-227",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900463445",
            "telephone_number": "310-989-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHULTZ",
        "first_name": "TARA",
        "middle_name": "MAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-22",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "36038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jun Shoji, M.D.
• Daniel Shouhed, M.DM
• Jonathan Shouhed, DDS
• Ilya Shtykan, LMFT
• Valery P Shulman, M.D.
• Arnold Shvarts, M.D.
• Jessica Siak, M.D.
• Karen Sibert, MD
• Ruby Siddiqui, M.D.
• Simrah Suhel Siddiqui, MD

• Psychologist in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; 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.