Shoreline Mental Health, Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A117029 Issued in CA

Legal business name

SHORELINE MENTAL HEALTH, INC

Practice address

610 Pacific Coast Hwy Ste 201
Seal Beach, CA 90740-6650

Phone

(562) 493-6799

Fax

(562) 493-6578

NPI assigned

Nov 13, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Zara Ashikyan, PH.D

Title

Ceo

Phone

(562) 493-6799

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Shoreline Mental Health, Inc Doing business as

Locations

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510531200000",
    "number": "1467965475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 PACIFIC COAST HWY STE 201",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406650",
            "telephone_number": "562-493-6799",
            "fax_number": "562-493-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 PACIFIC COAST HWY STE 201",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907406650",
            "telephone_number": "562-493-6799",
            "fax_number": "562-493-6578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORELINE MENTAL HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-13",
        "status": "A",
        "authorized_official_last_name": "ASHIKYAN",
        "authorized_official_first_name": "ZARA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-493-6799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY21081",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A117029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2325680",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2357845",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2107587",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shoreline Mental Health, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Isabella Shean, PT, DPT
• Morgan Paige Sheldon, MS, AMFT
• Mary B Sherman, MD
• Devon Shinn
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• Hilary Castelnau Siebens, MD
• Torunn E Sivesind, MD
• Sanford Jay Slater, PH.D.
• Douglas A Smith, MD
• Gaylyn Smith, PHARMD

• Psychiatry Physician in Seal Beach, CA
• Providers in Seal Beach, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; 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.