Dr. Mimi Shagaga Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

DR. MIMI SHAGAGA INC.

Practice address

20300 Ventura Blvd Ste 315
Woodland Hills, CA 91364-0903

Phone

(424) 274-2963

NPI assigned

Jan 24, 2019

Organization subpart

No

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

Authorized official

Name

Karima Shagaga

Title

President

Phone

(424) 274-2963

Specialties & licenses 2

Addresses

Electronic endpoints 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stefan Marc Rosenthal, PSY.D.

  • Marriage & Family Therapist
  • Woodland Hills, CA
  • NPI 1366620908
  NPD
• Maryam T Farmani

  • Marriage & Family Therapist
  • Woodland Hills, CA
  • NPI 1295031862
  NPD (past)
• Howard B. Weithorn, PSYCHOLOGIST

  • Psychologist
  • Beverly Hills, CA
  • NPI 1437233053
  NPD (past)

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

{
    "created_epoch": "1548288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593648000000",
    "number": "1831653781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13351D RIVERSIDE DR STE 598",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914232508",
            "telephone_number": "424-274-2963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20300 VENTURA BLVD STE 315",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913640903",
            "telephone_number": "424-274-2963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 S Beverly Dr Ste T",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902124303",
            "country_code": "US",
            "telephone_number": "424-274-2963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR. MIMI SHAGAGA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-24",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A",
        "authorized_official_last_name": "SHAGAGA",
        "authorized_official_first_name": "KARIMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "424-274-2963"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "drmimi@drmimishagaga.com",
            "affiliation": "N",
            "address_1": "20300 Ventura Blvd Ste 315",
            "city": "Woodland Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913640903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; 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.