Individual provider Active NPI

Shana Marissa Feinberg, DO

  • Child & Adolescent Psychiatry Physician
  • Phoenix, AZ
National Provider Identifier
1831687920
Registry record updated Feb 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
008349 Issued in AZ
Practice address
2601 E Roosevelt St
Phoenix, AZ 85008
Phone
(480) 344-2038
NPI assigned
Apr 25, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 008349 AZ
Student in an Organized Health Care Education/Training Program 390200000X
Child & Adolescent Psychiatry Physician 2084P0804X 008349 AZ Primary

Addresses

Primary practice location

2601 E Roosevelt St
Phoenix, AZ 85008

Mailing address

2601 E Roosevelt St
Phoenix, AZ 85008-4973

Other identifiers 1

IdentifierTypeStateIssuer
155502MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20221008000308 AZ Practitioner - Psychiatry 2961888334 Reassigns benefits to 2 organizations
I20251008001983 CA Practitioner - Psychiatry 2961888334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern California Permanente Medical GroupGroup PAC ID 6002729175, 11,250 clinicians

Practice addresses (Care Compare)

4647 Zion Ave
San Diego, CA 92120-2507
Phone (619) 528-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
008349AZMDPsychiatry Physician
23841CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Aug 12, 2025 Accepting new patients
Southern California Permanente Medical Group Current Accepting new patients
Maricopa County Special Health Care District CurrentSince Sep 1, 2023 Accepting new patients
Southern California Permanente Medical Group CurrentSince Aug 12, 2025 Accepting new patients
District Medical Group, Inc Current Accepting new patients
District Medical Group, Inc CurrentSince Sep 1, 2022 Accepting new patients
District Medical Group, Inc CurrentSince Sep 1, 2022 Accepting new patients
Maricopa County Special Health Care District CurrentSince Sep 1, 2023 Accepting new patients
Maricopa County Special Heallth Care District Past Accepting new patients
District Medical Group, Inc Family Medicine Past Accepting new patients

Locations

950 E Van Buren St
Avondale, AZ 85323
Phone (623) 344-6800

1201 S Alma School Rd
Ste 5100
Mesa, AZ 85210
Phone (602) 655-6242

950 E Main St
Mesa, AZ 85203
Phone (602) 655-6200

570 W Brown Rd
Mesa, AZ 85201
Phone (480) 344-2000

33 W Tamarisk St
Phoenix, AZ 85041
Phone (602) 344-6400

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

5102 W Campbell Ave
Phoenix, AZ 85031
Phone (623) 848-5000

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038

Interoperability endpoints

  • Direct secure messaging: sfeinberg131674@direct.valleywisehealth.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1831687920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 E ROOSEVELT ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850084973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 E ROOSEVELT ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85008",
            "telephone_number": "480-344-2038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEINBERG",
        "first_name": "SHANA",
        "middle_name": "MARISSA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-25",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "008349",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AZ",
            "license": "008349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155502",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.