Active NPI
Shelby Lisa Zavala-Barajas, PSY.D.
- Psychologist
- Dallas, TX
National Provider Identifier
1699267393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 2600 State St
Dallas, TX 75204-2633 - Phone
- (469) 860-9269
- NPI assigned
- May 30, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
2600 State St
Dallas, TX 75204-2633
Mailing address
2600 State St
Dallas, TX 75204-2633
Phone (469) 860-9269
Other practice location 1
12801 N Central Expy Ste 1730
Dallas, TX 75243-1872
Phone (562) 888-1165
Other practice location 2
1301 Pine Ave
Long Beach, CA 90813-3124
Phone (562) 595-1159
Other practice location 3
1000 W Carson St
Torrance, CA 90502-2004
Phone (310) 222-2345
Other names 1
- Miss Shelby Lisa Zavala
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662076800000",
"number": "1699267393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 STATE ST",
"city": "DALLAS",
"state": "TX",
"postal_code": "752042633",
"telephone_number": "469-860-9269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 STATE ST",
"city": "DALLAS",
"state": "TX",
"postal_code": "752042633",
"telephone_number": "469-860-9269"
}
],
"practiceLocations": [
{
"address_1": "12801 N Central Expy Ste 1730",
"address_purpose": "LOCATION",
"city": "Dallas",
"state": "TX",
"postal_code": "752431872",
"country_code": "US",
"telephone_number": "562-888-1165",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1301 Pine Ave",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908133124",
"country_code": "US",
"telephone_number": "562-595-1159",
"fax_number": "562-486-4661",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 W Carson St",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905022004",
"country_code": "US",
"telephone_number": "310-222-2345",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZAVALA-BARAJAS",
"first_name": "SHELBY",
"middle_name": "LISA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-30",
"last_updated": "2022-09-02",
"certification_date": "2022-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SHELBY",
"last_name": "ZAVALA",
"middle_name": "LISA",
"prefix": "MISS",
"credential": "M.A.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.