Individual provider Active NPI

Shirin Moheet, PSY.D

  • Psychologist
  • Los Angeles, CA
National Provider Identifier
1841586112
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY27131 Issued in CA
Practice address
12100 Wilshire Blvd Ste 1070
Los Angeles, CA 90025-7120
Phone
(310) 999-5069
NPI assigned
Jun 24, 2011
Last updated
Mar 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY27131 CA Primary

Addresses

Primary practice location

12100 Wilshire Blvd Ste 1070
Los Angeles, CA 90025-7120

Mailing address

12100 Wilshire Blvd Ste 1070
Los Angeles, CA 90025-7120
Phone (310) 999-5069

Other practice location 1

1540 E Colorado St
Glendale, CA 91205-1514
Phone (310) 751-5344

Other practice location 2

9777 Wilshire Blvd Ste 707
Beverly Hills, CA 90212-1907
Phone (310) 920-8794

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY27131CAMDPsychologist
27181CAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1841586112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12100 WILSHIRE BLVD STE 1070",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257120",
            "telephone_number": "310-999-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12100 WILSHIRE BLVD STE 1070",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257120",
            "telephone_number": "310-999-5069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1540 E Colorado St",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912051514",
            "country_code": "US",
            "telephone_number": "310-751-5344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9777 Wilshire Blvd Ste 707",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902121907",
            "country_code": "US",
            "telephone_number": "310-920-8794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHEET",
        "first_name": "SHIRIN",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-24",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY27131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.