Organization Active NPI

Century Psychology Group Inc

  • Psychologist
  • Beverly Hills, CA
National Provider Identifier
1689439804
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
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

Updated by the provider on Oct 17, 2024

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

Authorized official

Name
Shannon Daneshrad, PSY.D.NPI 1487193637
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)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20241024000827 CA Part B Supplier - Clinic/Group Practice 3678006020 Receives reassigned benefits from 2 practitioners
Practice locations: Beverly Hills, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.