Shannon Chavez Qureshi, PSY.D.

Primary specialty

Health Service PsychologistTaxonomy code 103TH0100X

License

PSY26924 Issued in CA

Practice address

8484 Wilshire Blvd
Suite 715
Beverly Hills, CA 90211

Phone

(323) 920-9473

NPI assigned

Aug 24, 2009

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

Other names 1

• Dr. Shannon Chavez Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1376776492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8484 WILSHIRE BLVD",
            "address_2": "SUITE 715",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113235",
            "telephone_number": "323-920-9473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8484 WILSHIRE BLVD",
            "address_2": "SUITE 715",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90211",
            "telephone_number": "323-920-9473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QURESHI",
        "first_name": "SHANNON",
        "middle_name": "CHAVEZ",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-24",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY26924",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "CA",
            "license": "PSY26924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "CHAVEZ",
            "prefix": "DR.",
            "credential": "DR. SHANNON CHAVEZ",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; 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.