Ramzy Samir Shehadeh, BA

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

1780 Vernon St Ste 1
Roseville, CA 95678-6311

Phone

(916) 782-1111

Fax

(916) 782-4544

NPI assigned

Apr 7, 2020

Sex

Male

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

Credentials

Bachelor of Arts

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

{
    "created_epoch": "1586217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1467081810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1780 VERNON ST STE 1",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956786311",
            "telephone_number": "916-782-1111",
            "fax_number": "916-782-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1780 VERNON ST STE 1",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956786311",
            "telephone_number": "916-782-1111",
            "fax_number": "916-782-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEHADEH",
        "first_name": "RAMZY",
        "middle_name": "SAMIR",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-07",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Lynne Shaw
• Tristan Marie Shaw
• Shawn Kelly DDS Inc
• Gerry Kathleen Shea, L.C.S.W.
• Kathleen Shea, LMFT
• Sheils Dental Care Inc
• Jennifer Shelby
• Cara Rachel Shellhorn
• Jennifer Shelton
• Rachel Shelton, MS

• Counselor in Roseville, CA
• Providers in Roseville, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.

Verify at the official NPI Registry.