NPIMap

Organization Active NPI

My Shadow

  • Assistant Behavior Analyst
  • Los Angeles, CA
National Provider Identifier
1710422506
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assistant Behavior AnalystTaxonomy code 106E00000X
Legal business name
MY SHADOW
Practice address
11301 W Olympic Blvd
Suite 300
Los Angeles, CA 90064-1653
Phone
(310) 721-2101
NPI assigned
Jan 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Authorized official

Name
Natasha Parsakia, MA, BCBANPI 1467706028
Title
Owner/Supervisor/Bcba
Phone
(310) 721-2101

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assistant Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106E00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

11301 W Olympic Blvd
Suite 300
Los Angeles, CA 90064-1653

Mailing address

11301 W Olympic Blvd
Suite 300
Los Angeles, CA 90064-1653
Phone (310) 721-2101

Other names 1

  • DBA Doing business as

National Provider Directory

National Provider Directory

Locations

11301 W Olympic Blvd
Ste 300
Los Angeles, CA 90064
Phone (310) 721-2101

Practitioners & affiliated clinicians

Practitioners 1

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": "1483401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1710422506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11301 W OLYMPIC BLVD",
            "address_2": "SUITE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641653",
            "telephone_number": "310-721-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11301 W OLYMPIC BLVD",
            "address_2": "SUITE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641653",
            "telephone_number": "310-721-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY SHADOW",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "PARSAKIA",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "OWNER/SUPERVISOR/BCBA",
        "authorized_official_telephone_number": "310-721-2101",
        "authorized_official_credential": "MA, BCBA"
    },
    "taxonomies": [
        {
            "code": "106E00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Assistant Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.