Individual provider Active NPI

Aisha Shaikh, PSY.D

  • Clinical Psychologist
  • Van Nuys, CA
National Provider Identifier
1710604491
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
33806 Issued in CA
Practice address
14541 Delano St
Van Nuys, CA 91411-2820
Phone
(811) 331-0515
NPI assigned
Oct 24, 2022
Last updated
Jul 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 33806 CA Primary

Addresses

Primary practice location

14541 Delano St
Van Nuys, CA 91411-2820

Mailing address

P.O. Box 2311
Palos Verdes Peninsula, CA 90274-8311
Phone (310) 704-3307

Other practice location 1

23332 Hawthorne Blvd Ste 304
Torrance, CA 90505-4457
Phone (424) 903-6520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230125002065 CA Practitioner - Clinical Psychologist 6204207434 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evolving Pathways Psychology CorporationGroup PAC ID 6002212115, 9 clinicians

Practice addresses (Care Compare)

2447 Pacific Coast Hwy
Suite 210
Hermosa Beach, CA 90254-2714
Phone (424) 212-3212

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
95
Improvement activities
40
Cost
76.74

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Evolving Pathways Psychology Corporation Clinical CurrentSince Sep 11, 2023 Accepting new patients
Ehab Yacoub MD Inc. CurrentSince Dec 5, 2022 Accepting new patients
Action Orthopedic Company, LLC PastSince Apr 1, 2023 Accepting new patients

Locations

1225 W 190th St
Ste 280
Gardena, CA 90248
Phone (310) 515-8113

2447 Pacific Coast Hwy
#210
Hermosa Beach, CA 90254
Phone (424) 212-3212

2447 Pacific Coast Hwy
Ste 210
Hermosa Beach, CA 90254
Phone (310) 905-3151

17075 Devonshire St
Ste 204
Northridge, CA 91325
Phone (818) 368-8929

473 E Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

473 S Carnegie Dr
Ste 200
Sn Bernrdno, CA 92408
Phone (562) 803-4500

14541 Delano St
Van Nuys, CA 91411
Phone (310) 515-8113

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1710604491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2311",
            "city": "PALOS VERDES PENINSULA",
            "state": "CA",
            "postal_code": "902748311",
            "telephone_number": "310-704-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14541 DELANO ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112820",
            "telephone_number": "811-331-0515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23332 Hawthorne Blvd Ste 304",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905054457",
            "country_code": "US",
            "telephone_number": "424-903-6520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAIKH",
        "first_name": "AISHA",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "33806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.