Active NPI
Century Psychology Group Inc
- Psychologist
- Beverly Hills, CA
National Provider Identifier
1689439804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Legal business name
- CENTURY PSYCHOLOGY GROUP INC
- Practice address
- 416 N Bedford Dr Ste 208
Beverly Hills, CA 90210-4317 - Phone
- (213) 342-1026
- NPI assigned
- Feb 16, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shannon Daneshrad, PSY.D.
- Title
- Licensed Psychologist
- Phone
- (818) 633-9167
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
416 N Bedford Dr Ste 208
Beverly Hills, CA 90210-4317
Mailing address
416 N Bedford Dr Ste 208
Beverly Hills, CA 90210-4317
Phone (213) 342-1026
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
416 N Bedford Dr
Ste 208
Beverly Hills, CA 90210
Phone (213) 342-1026
9615 Brighton Way
Ste 201
Beverly Hills, CA 90210
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Psychologist
- Beverly Hills, CA
- NPI 1487193637
-
- Clinical Psychologist
- Beverly Hills, CA
- NPI 1881314805
-
- Marriage & Family Therapist
- Beverly Hills, CA
- NPI 1861087207
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1729123200000",
"number": "1689439804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 N BEDFORD DR STE 208",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104317",
"telephone_number": "213-342-1026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 N BEDFORD DR STE 208",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104317",
"telephone_number": "213-342-1026"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTURY PSYCHOLOGY GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-16",
"last_updated": "2024-10-17",
"certification_date": "2024-10-17",
"status": "A",
"authorized_official_last_name": "DANESHRAD",
"authorized_official_first_name": "SHANNON",
"authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
"authorized_official_telephone_number": "818-633-9167",
"authorized_official_credential": "PSY.D."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.