Organization Active NPI

Shaheen Therapy Center Incorporation

  • Marriage & Family Therapist
  • San Fernando, CA
National Provider Identifier
1710501119
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
SHAHEEN THERAPY CENTER INCORPORATION
Practice address
1024 N Maclay Ave Ste G
San Fernando, CA 91340-1361
Phone
(818) 839-0685
NPI assigned
Jun 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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

Authorized official

Name
Amal Elia Shaheen, LMFT
Title
Ceo
Phone
(818) 839-0685

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

1024 N Maclay Ave Ste G
San Fernando, CA 91340-1361

Mailing address

1024 N Maclay Ave Ste G
San Fernando, CA 91340-1361
Phone (818) 839-0685

National Provider Directory

National Provider Directory

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": "1590969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590969600000",
    "number": "1710501119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 N MACLAY AVE STE G",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913401361",
            "telephone_number": "818-839-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1024 N MACLAY AVE STE G",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913401361",
            "telephone_number": "818-839-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHEEN THERAPY CENTER INCORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-01",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A",
        "authorized_official_last_name": "SHAHEEN",
        "authorized_official_first_name": "AMAL",
        "authorized_official_middle_name": "ELIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-839-0685",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Fernando, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; 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.