Marta M Shinn, PHD.

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

PSY23107 Issued in CA

Practice address

3525 Hyland Ave Ste 205
Costa Mesa, CA 92626-1403

Phone

(949) 873-4617

Fax

(949) 209-4544

NPI assigned

Dec 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Variations Psychology PC

  • Clinical Psychologist
  • Costa Mesa, CA
  • NPI 1447182472

  Clinical Child & Adolescent

  NPD Authorized official

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1497939896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1048 IRVINE AVE # 717",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926604602",
            "telephone_number": "949-873-4617",
            "fax_number": "949-209-4544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 HYLAND AVE STE 205",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926261403",
            "telephone_number": "949-873-4617",
            "fax_number": "949-209-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINN",
        "first_name": "MARTA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "PHD.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-20",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CA",
            "license": "PSY23107",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY23107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stewart George Shimoda, MD
• Heidi Shin
• SE Kuee Shin
• Darryl Shinder
• Shining Bright Senior Care Home Inc.
• Cynthia Lynn Shippboccara, DC
• Shirin Afrasiabi MD Inc
• Allison Elizabeth Sholly, OD
• December Loraine Shore, RN
• Zachary Shube

• Clinical Child & Adolescent Psychologist in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Clinical Child & Adolescent Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.