Shiva Amin-Shinnette Psychological Services PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

SHIVA AMIN-SHINNETTE PSYCHOLOGICAL SERVICES PC

Doing business as

Therapy for the Healing Hero

Practice address

5701 Lonetree Blvd Ste 108E
Rocklin, CA 95765-3792

Phone

(559) 269-5036

NPI assigned

Jan 6, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Shiva Amin-Shinnette, PHDNPI 1083951412

Title

Clinical Director

Phone

(559) 269-5036

Specialties & licenses 1

Addresses

Other names 1

• Therapy for the Healing Hero Doing business as

Locations

Practitioners 1

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

• Shiva Amin-Shinnette, PH D

  • Psychologist
  • Rocklin, CA
  • NPI 1083951412

  Single Specialty

  NPD Authorized official

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1689483364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 LONETREE BLVD STE 108E",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957653792",
            "telephone_number": "559-269-5036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 LONETREE BLVD STE 108E",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957653792",
            "telephone_number": "559-269-5036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIVA AMIN-SHINNETTE PSYCHOLOGICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "AMIN-SHINNETTE",
        "authorized_official_first_name": "SHIVA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "559-269-5036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therapy for the Healing Hero",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Psychologist in Rocklin, CA
• Providers in Rocklin, 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 6, 2025; 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.