Fairy Shaw, AMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

4700 Clair del Ave Apt 545
Long Beach, CA 90807-1329

Phone

(562) 805-3092

NPI assigned

Aug 28, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Fairy Empowered Therapy

  • Marriage & Family Therapist
  • Lakewood, CA
  • NPI 1689512139
  NPD Authorized official
• Nancy Paloma Collins Licensed Marriage and Family Therapist Inc.

  • Marriage & Family Therapist
  • Newport Beach, CA
  • NPI 1659906030
  NPD (past)

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1639727209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 CLAIR DEL AVE APT 545",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908071329",
            "telephone_number": "562-805-3092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 CLAIR DEL AVE APT 545",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908071329",
            "telephone_number": "562-805-3092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "FAIRY",
        "credential": "AMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Katherine Shauger
• David Mark Shavelle, M.D.
• Davidshka Lynel Shavers
• Ondrea Shaw Beasley
• Brandirose Christine Shaw
• Kelly Shaw
• Pamela Kay Shaw, R.N.
• Samantha J Shaw, FNP-BC
• Kristin N Shay, D.C.
• Amir Shbeeb, M.D.

• Marriage & Family Therapist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.