Shannon Squillante

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

98938 Issued in CA

Practice address

4025 W 226TH St
Torrance, CA 90505-2340

Phone

(310) 373-4556

Fax

(310) 375-1784

NPI assigned

Nov 7, 2013

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

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Find Your Balance Therapy Center & Family Services a Professional Cor

  dba FIND YOUR BALANCE, CENTER FOR GROWTH & CHANGE Inc

  • Marriage & Family Therapist
  • Encino, CA
  • NPI 1801405014
  NPD (past)

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1396174512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1187 E 3RD ST UNIT 308",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908023582",
            "telephone_number": "805-304-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 W 226TH ST",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905052340",
            "telephone_number": "310-373-4556",
            "fax_number": "310-375-1784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15720 Ventura Blvd Ste 420",
            "address_purpose": "LOCATION",
            "city": "Encino",
            "state": "CA",
            "postal_code": "914364711",
            "country_code": "US",
            "telephone_number": "818-927-0478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SQUILLANTE",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "98938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spring Diagnostics LLC
• Spring Senior Assisted Living, LLC (Spring Senior Assisted Living)
• Makayla Springer, M.S. CCC-SLP
• Kimberly A Sprofera
• Tasha Lyne Sprowl
• Benjamin Thomas Squire, M.D.
• Kristina Squire
• Tiffany Dawn Sramek, PPS
• Vishaal Sridhar, MD
• Srinivas Yanamadala MD Inc

• Marriage & Family Therapist in Torrance, CA
• Providers in Torrance, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.