Shanni Tal, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY34230 Issued in CA

Practice address

2221 Camino del Rio S Ste 200
San Diego, CA 92108-3609

Phone

(619) 275-2286

NPI assigned

Aug 28, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Aug 9, 2023 through Aug 9, 2027

Medicare enrollment (NPD)

Not enrolled

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.

• Live Better Psychotherapy, a Licensed Clinical Social Worker

  • Psychologist
  • La Jolla, CA
  • NPI 1124765375
  NPD
• Rochelle Perper, Psychology PC

  dba Therapy Changes

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1447696836
  NPD

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

{
    "created_epoch": "1503878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1609393958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 CAMINO DEL RIO S STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083609",
            "telephone_number": "619-275-2286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 CAMINO DEL RIO S STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083609",
            "telephone_number": "619-275-2286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3252 Holiday Ct Ste 201",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920371808",
            "country_code": "US",
            "telephone_number": "858-371-3737 x102",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5252 Balboa Ave Ste 408",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921176939",
            "country_code": "US",
            "telephone_number": "619-500-2250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAL",
        "first_name": "SHANNI",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-28",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY34230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keita Takeuchi
• Srinu Takkallapalli, M.D.
• Dimitra A Takos, PSY.D.
• Afua Konadu Takyi, MD, MBS, MPH, MSCR
• Tal David, MD, Inc
• Darrion Khalil Talalele
• Melissa Jazmin Talamante
• Gabriella Talamantes
• Skyler Rey Talamantes, D.C.
• Deborah Talamantez

• Clinical Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.

Verify at the official NPI Registry.