Active NPI
Jamie Neiree Innerfield Shafir
- Social Worker
- Poway, CA
National Provider Identifier
1588338065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 13319 Poway Rd Ste 135
Poway, CA 92064-4627 - Phone
- (858) 523-8429
- NPI assigned
- Aug 6, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
13319 Poway Rd Ste 135
Poway, CA 92064-4627
Mailing address
13319 Poway Rd Ste 135
Poway, CA 92064-4627
Phone (858) 523-8429
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.mindbodytherapycenter.org/contact |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 25, 2025 through Feb 25, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636243200000",
"number": "1588338065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13319 POWAY RD STE 135",
"city": "POWAY",
"state": "CA",
"postal_code": "920644627",
"telephone_number": "858-523-8429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13319 POWAY RD STE 135",
"city": "POWAY",
"state": "CA",
"postal_code": "920644627",
"telephone_number": "858-523-8429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAFIR",
"first_name": "JAMIE",
"middle_name": "NEIREE INNERFIELD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-06",
"last_updated": "2021-11-07",
"certification_date": "2021-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.mindbodytherapycenter.org/contact",
"affiliation": "N",
"address_1": "13319 Poway Rd Ste 135",
"city": "Poway",
"state": "CA",
"country_code": "US",
"postal_code": "920644627",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Poway, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.