Organization Active NPI

Life Therapy Services, Inc.

  • Marriage & Family Therapist
  • Palmdale, CA
National Provider Identifier
1366600942
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
39636 Issued in CA
Legal business name
LIFE THERAPY SERVICES, INC.
Practice address
3053 Rancho Vista Blvd
Ste. H #114
Palmdale, CA 93551-4823
Phone
(661) 718-2694
NPI assigned
May 30, 2008
Last updated
May 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Dr. Zoe Miranda Shaw, PSY.D.NPI 1699952796
Title
Lead Psychotherapist/ Owner
Phone
(661) 718-2694

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 39636 CA Primary

Addresses

Primary practice location

3053 Rancho Vista Blvd
Ste. H #114
Palmdale, CA 93551-4823

Mailing address

3053 Rancho Vista Blvd
Ste. H #114
Palmdale, CA 93551-4823
Phone (661) 718-2694

National Provider Directory

National Provider Directory

Locations

3053 Rancho Vista Blvd
Ste H
Palmdale, CA 93551
Phone (661) 718-2694

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1366600942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3053 RANCHO VISTA BLVD",
            "address_2": "STE. H #114",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514823",
            "telephone_number": "661-718-2694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3053 RANCHO VISTA BLVD",
            "address_2": "STE. H #114",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514823",
            "telephone_number": "661-718-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "ZOE",
        "authorized_official_middle_name": "MIRANDA",
        "authorized_official_title_or_position": "LEAD PSYCHOTHERAPIST/ OWNER",
        "authorized_official_telephone_number": "661-718-2694",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "39636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.