Marilyn Shore, PHD, Inc.

Primary specialty

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

Legal business name

MARILYN SHORE, PHD, INC.

Practice address

2659 Townsgate Rd Ste 201
Westlake Village, CA 91361-2776

Phone

(805) 494-1484

Fax

(805) 494-9677

NPI assigned

Jun 24, 2019

Organization subpart

No

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

Authorized official

Name

Marilyn Shore, PHDNPI 1598844847

Title

President

Phone

(805) 494-1484

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Marilyn A Shore, PHD

  • Psychologist
  • Westlake Village, CA
  • NPI 1598844847
  NPD (past) Authorized official

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561334400000",
    "number": "1871154641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2659 TOWNSGATE RD STE 201",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612776",
            "telephone_number": "805-494-1484",
            "fax_number": "805-494-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2659 TOWNSGATE RD STE 201",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612776",
            "telephone_number": "805-494-1484",
            "fax_number": "805-494-9677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARILYN SHORE, PHD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A",
        "authorized_official_last_name": "SHORE",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-494-1484",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSYCHOLOGIST",
            "identifier": "PSY118866",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Piyada Tanya Mannino, PHARM.D.
• Kacie Marczuk, BA
• Jill Ann Marder-Meyer, O.T.R./L.
• Toni Lynn Marderian, PT
• Virginia Maril, PH.D.
• Hector Francisco Mariscal, CATC I
• Mark Emmitt Marriage and Family Therapist Inc.
• Mark Farnum, M.D., a Professional Corporation
• Marlene W. Valter, PSYD
• Lisa Marnell, OTR

• Mental Health Clinic/Center (Including Community Mental Health Center) in Westlake Village, CA
• Providers in Westlake Village, 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 Jun 24, 2019; 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.