Ellen Shirman, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY13806 Issued in CA

Practice address

17525 Ventura Blvd
Ste 307
Encino, CA 91316-5159

Phone

(818) 995-4477

Fax

(818) 995-4171

NPI assigned

Nov 13, 2006

Last updated

Mar 24, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Cortex Behavioral Health, Corp.

  • Clinical Neuropsychologist
  • Encino, CA
  • NPI 1275604274
  NPD (past) Authorized official
• Asya Kupisk MD Inc

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1598933665
  NPD (past)

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

{
    "created_epoch": "1163376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1568533560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17525 VENTURA BLVD",
            "address_2": "STE 307",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165159",
            "telephone_number": "818-995-4477",
            "fax_number": "818-995-4171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17525 VENTURA BLVD",
            "address_2": "STE 307",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913165159",
            "telephone_number": "818-995-4477",
            "fax_number": "818-995-4171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIRMAN",
        "first_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-13",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY13806",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY13806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY138060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keyvan Shirazi, M.D.
• Pejman Eli Shirazy, M.D.
• Shirin Sharifha PHD Clinical Psychologist Inc
• Sophie Shirin
• Christina Shirley
• Shirzad a. Abrams, M.D., Inc.
• Hovhanness Ivan Shnorhokian, D.M.D.
• Emmanuel Adeyanju Shodipe
• Courtney Shore, IMF
• Shoreline Pharmaceuticals Inc

• Psychologist in Encino, CA
• Providers in Encino, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.