Individual provider Active NPI

Shannon Daneshrad, PSY.D., M.A.

  • Clinical Psychologist
  • Beverly Hills, CA
National Provider Identifier
1487193637
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY34382 Issued in CA
Practice address
436 N Roxbury Dr Ste 222
Beverly Hills, CA 90210-5017
Phone
(213) 342-1026
NPI assigned
Feb 21, 2017
Last updated
Oct 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSB94024192 CA
Clinical Psychologist 103TC0700X PSY34382 CA Primary
Marriage & Family Therapist 106H00000X 97344 CA

Addresses

Primary practice location

436 N Roxbury Dr Ste 222
Beverly Hills, CA 90210-5017

Mailing address

436 N Roxbury Dr Ste 222
Beverly Hills, CA 90210-5017
Phone (213) 342-1026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241024001878 CA Practitioner - Clinical Psychologist 4587197934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Century Psychology Group IncGroup PAC ID 3678006020, 2 clinicians

Practice addresses (Care Compare)

416 N Bedford Dr
Suite 208
Beverly Hills, CA 90210-4317
Phone (213) 342-1026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PSB94024192CAMDClinical Psychologist
PSY34382CAMDClinical Psychologist
97344CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Century Psychology Group Inc CurrentSince Aug 14, 2024 Accepting new patients
Paula E. Bruce, PH.D. & Associates, a Psychological Corporation Clinical PastSince Aug 1, 2023 Accepting new patients

Locations

416 N Bedford Dr
Ste 208
Beverly Hills, CA 90210
Phone (213) 342-1026

436 N Roxbury Dr
Ste 222
Beverly Hills, CA 90210
Phone (310) 276-2379

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1487193637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 N ROXBURY DR STE 222",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105017",
            "telephone_number": "213-342-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 N ROXBURY DR STE 222",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105017",
            "telephone_number": "213-342-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANESHRAD",
        "first_name": "SHANNON",
        "credential": "PSY.D., M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-21",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSB94024192",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY34382",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "97344",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.