Shannon Jamail

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

24885 Whitewood Rd
#105
Murrieta, CA 92563-2014

Phone

(951) 683-6596

NPI assigned

Aug 16, 2016

Last updated

Aug 17, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Shannon Formica Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Mfi Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Murrieta, CA
  • NPI 1689851917
  NPD (past)

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1801341177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24885 WHITEWOOD RD",
            "address_2": "#105",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632014",
            "telephone_number": "951-683-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24885 WHITEWOOD RD",
            "address_2": "#105",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632014",
            "telephone_number": "951-683-6596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMAIL",
        "first_name": "SHANNON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-16",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHANNON",
            "last_name": "FORMICA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah Jacobs
• Teresa Jaen
• Zahra Jafry, MD
• Danielle Nicole Jaiman, RN
• Ananya Jalsingh, OD
• James P. Von Hipple Chiropractic Inc. (Murrieta Advanced Chiropractic)
• Nicole James
• Tessa Marie Jansen, M.A. CCC-SLP
• Madeline Mae Maramba Janssen, NP
• Ashley Jaramilla

• Marriage & Family Therapist in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; 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.