Shelley Gregory, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

90473 Issued in CA

Practice address

2100 N Sepulveda Blvd
#35
Manhattan Beach, CA 90266-2948

Phone

(310) 954-2144

NPI assigned

Jan 22, 2016

Last updated

Jan 22, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 12, 2024 through Jan 12, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453420800000",
    "number": "1699132530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 PETALUMA AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908084239",
            "telephone_number": "310-489-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N SEPULVEDA BLVD",
            "address_2": "#35",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662948",
            "telephone_number": "310-954-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREGORY",
        "first_name": "SHELLEY",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-22",
        "last_updated": "2016-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "90473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joel David Gould, DDS
• Melissa Grant, DDS
• Ronald J Greene, D.D.S.
• Melvin A. Greenspan, D.D.S.,
• Gregory M. Ray D.D.S., Inc. (Giant Smiles Dental - Manhattan Beach)
• Allison Michelle Gribben, M.A.
• Taylor Griffith, D.C.
• Stacie B Groat
• Alice Marie Grob, D.C.
• Vince Guagliano, DC

• Marriage & Family Therapist in Manhattan Beach, CA
• Providers in Manhattan Beach, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.