Shannon Lerach, PH.D., Inc., a Psychological Corporation

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

SHANNON LERACH, PH.D., INC., A PSYCHOLOGICAL CORPORATION

Practice address

243 N Highway 101 Ste 16
Solana Beach, CA 92075-1167

Phone

(619) 817-5320

NPI assigned

Jan 16, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Shannon Lerach, PH.D.NPI 1396983748

Title

Owner

Phone

(619) 817-5320

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shannon Lerach, PH.D.

  • Clinical Child & Adolescent Psychologist
  • Solana Beach, CA
  • NPI 1396983748
  NPD Authorized official

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673827200000",
    "number": "1679288666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 N HIGHWAY 101 STE 16",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751167",
            "telephone_number": "619-817-5320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 N HIGHWAY 101 STE 16",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751167",
            "telephone_number": "619-817-5320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANNON LERACH, PH.D., INC., A PSYCHOLOGICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-01-16",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "LERACH",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-817-5320",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396983748",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902947005",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Seymour Myers, M.D., a Professional Corporation
• Barbara Lee Seymour, LAC.
• SFZ Health LLC
• SGF Socal, PC
• Roeshan Shadravan, PHD. DOMP. MSC. CST.
• Jessica Marie Sharp
• Sheppard Spine & Sports Clinic
• Annemarie J Sheppard, D.C.
• Chelsea Sheppard, D.C.
• Kenny R Sheppard, D.C.

• Clinical Psychologist in Solana Beach, CA
• Providers in Solana Beach, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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.