Individual provider Active NPI

Anna Irene Shorenstein, PSY.D

  • Clinical Psychologist
  • Walnut Creek, CA
National Provider Identifier
1821155474
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
22405 Issued in CA
Practice address
39 Quail CT
Suite 205
Walnut Creek, CA 94596-5566
Phone
(925) 271-8040
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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 22405 CA Primary

Addresses

Primary practice location

39 Quail CT
Suite 205
Walnut Creek, CA 94596-5566

Mailing address

PO Box 6302
Concord, CA 94524-1302
Phone (831) 566-6327

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
I20090618000122 CA Practitioner - Clinical Psychologist 6901956648 Practice locations: Walnut Creek, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

39 Quail CT
Walnut Creek, CA 94596-5570
Phone (925) 954-4149

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1821155474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6302",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945241302",
            "telephone_number": "831-566-6327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 QUAIL CT",
            "address_2": "SUITE 205",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965566",
            "telephone_number": "925-271-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORENSTEIN",
        "first_name": "ANNA",
        "middle_name": "IRENE",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "22405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.