Active NPI
Patricia Lynn Shambrook, MA
- Marriage & Family Therapist
- Newport Beach, CA
National Provider Identifier
1659041366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 88618
- Practice address
- 4060 Campus Dr Ste 110
Newport Beach, CA 92660-2205 - Phone
- (714) 651-8280
- NPI assigned
- Sep 14, 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 88618 | CA | Primary |
Addresses
Primary practice location
4060 Campus Dr Ste 110
Newport Beach, CA 92660-2205
Mailing address
195 S Jameson St
Orange, CA 92866-2210
Phone (714) 651-8280
Other names 1
- Mrs. Patti Shambrook
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | patti@pattishambrook.com | Direct |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88618 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1659041366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 S JAMESON ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928662210",
"telephone_number": "714-651-8280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4060 CAMPUS DR STE 110",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602205",
"telephone_number": "714-651-8280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAMBROOK",
"first_name": "PATRICIA",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-14",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "88618",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "patti@pattishambrook.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "4060 Campus Dr Ste 110",
"city": "Newport Beach",
"state": "CA",
"country_code": "US",
"postal_code": "926602205",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "PATTI",
"last_name": "SHAMBROOK",
"prefix": "MRS.",
"credential": "MA",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.