Individual provider Active NPI

Karine Shakib-Beltran, PSY.D.

  • Clinical Psychologist
  • Sherman Oaks, CA
National Provider Identifier
1558579136
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY23343 Issued in CA
Practice address
15021 Ventura Blvd
Suite 406
Sherman Oaks, CA 91403-5470
Phone
(818) 903-1972
Fax
(818) 691-0253
NPI assigned
May 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY23343 CA Primary

Addresses

Primary practice location

15021 Ventura Blvd
Suite 406
Sherman Oaks, CA 91403-5470

Mailing address

15021 Ventura Blvd
Suite 406
Sherman Oaks, CA 91403-2442
Phone (818) 903-1972

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
I20100511000942 CA Practitioner - Clinical Psychologist 5799813804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

16055 Ventura Blvd
Suite 645
Encino, CA 91436-2609
Phone (818) 903-1972

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23343CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Karine Shakib, Psy.D., a Psychological Corporation CurrentSince Jul 19, 2010 Accepting new patients

Locations

16055 Ventura Blvd
Ste 645
Encino, CA 91436
Phone (818) 903-1972

Organizations & group practices 1

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1558579136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15021 VENTURA BLVD",
            "address_2": "SUITE 406",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032442",
            "telephone_number": "818-903-1972",
            "fax_number": "818-691-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15021 VENTURA BLVD",
            "address_2": "SUITE 406",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914035470",
            "telephone_number": "818-903-1972",
            "fax_number": "818-691-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKIB-BELTRAN",
        "first_name": "KARINE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY23343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.