Active NPI
Shonna Marie Hill, PSYD.
- Counseling Psychologist
- Brea, CA
National Provider Identifier
1457973356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 31517
- Practice address
- 135 S State College Blvd Ste 200
Brea, CA 92821-5805 - Phone
- (213) 545-6931
- NPI assigned
- May 13, 2020
- Last updated
- May 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 31517 | CA | Primary |
Addresses
Primary practice location
135 S State College Blvd Ste 200
Brea, CA 92821-5805
Mailing address
PO Box 6095
Fullerton, CA 92834-6095
Phone (231) 545-6931
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31517 | CA | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589328000000",
"number": "1457973356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6095",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928346095",
"telephone_number": "231-545-6931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 S STATE COLLEGE BLVD STE 200",
"city": "BREA",
"state": "CA",
"postal_code": "928215805",
"telephone_number": "213-545-6931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "SHONNA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "PSYD.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-05-13",
"last_updated": "2020-05-13",
"certification_date": "2020-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": "31517",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.