Shoshana Shea, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY19888 Issued in CA

Practice address

3252 Holiday CT
Suite 209
La Jolla, CA 92037-0027

Phone

(619) 269-2377

NPI assigned

May 21, 2007

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 Oct 25, 2023 through Oct 25, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770791881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 KETTNER BLVD",
            "address_2": "UNIT 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012531",
            "telephone_number": "619-269-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3252 HOLIDAY CT",
            "address_2": "SUITE 209",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920370027",
            "telephone_number": "619-269-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "SHOSHANA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY19888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert W. Sharpe, M.D.
• Rebecca Arielle Shatsky, M.D.
• Shaw S Eslamian MD PC
• Shawn Chadha DDS Inc. (SC DDS Family and Cosmetic Dentistry)
• Hailey Shea
• Geoffrey Sheean
• Wasiq Sheikh
• Raymond K Sheline, M.D.
• Kiley Ann Shelley, PHARMD
• Daniela Shemirani, MD

• Clinical Psychologist in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.