Active NPI
Shereen Tabibian, PSY.D.
- Clinical Psychologist
- Santa Monica, CA
National Provider Identifier
1609164425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 27120
- Practice address
- 1932 14TH St
Second Floor
Santa Monica, CA 90404-4605 - Phone
- (310) 982-2358
- NPI assigned
- Jul 13, 2011
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY 27120 | CA | Primary |
Addresses
Primary practice location
1932 14TH St
Second Floor
Santa Monica, CA 90404-4605
Mailing address
1932 14TH St
Second Floor
Santa Monica, CA 90404-4605
Phone (310) 982-2358
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 27120 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444348800000",
"number": "1609164425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1932 14TH ST",
"address_2": "SECOND FLOOR",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904044605",
"telephone_number": "310-982-2358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1932 14TH ST",
"address_2": "SECOND FLOOR",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904044605",
"telephone_number": "310-982-2358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TABIBIAN",
"first_name": "SHEREEN",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-13",
"last_updated": "2015-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 27120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.