Stazan K Sina, PHD

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

PSY15821 Issued in CA

Practice address

100 E Thousand Oaks Blvd
Suite 217
Thousand Oaks, CA 91360-5713

Phone

(805) 778-1060

Fax

(805) 778-1061

NPI assigned

Feb 27, 2014

Sex

Male

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

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": "1393459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1801211859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E THOUSAND OAKS BLVD",
            "address_2": "SUITE 217",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605713",
            "telephone_number": "805-778-1060",
            "fax_number": "805-778-1061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E THOUSAND OAKS BLVD",
            "address_2": "SUITE 217",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605713",
            "telephone_number": "805-778-1060",
            "fax_number": "805-778-1061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINA",
        "first_name": "STAZAN",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-27",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY15821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Azita Simoni, MD
• Gilbert Simoni, M.D., FACG
• Beronica B Simpson
• Chelsea Nicole Simpson, MD
• Joanne Simsovits
• Alexandra Sinclair
• Rhonda Sinclair, NP
• Steven Sinclair, PHARM.D.
• Mantej Singh, MD
• Narinderbir Singh

• Clinical Child & Adolescent Psychologist in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Clinical Child & Adolescent Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.