Organization Active NPI

Shahin Psychological Services, Inc.

  • Clinical Psychologist
  • Diamond Bar, CA
National Provider Identifier
1902043631
Registry record updated Jan 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY18852 Issued in CA
Legal business name
SHAHIN PSYCHOLOGICAL SERVICES, INC.
Practice address
1930 S Brea Canyon Rd
C265
Diamond Bar, CA 91765-4009
Phone
(909) 860-2880
Fax
(909) 860-2885
NPI assigned
Jan 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2009

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

Authorized official

Name
Mrs. Sana Shahin
Title
Chief Financial Officer
Phone
(909) 225-0415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY18852 CA Primary

Addresses

Primary practice location

1930 S Brea Canyon Rd
C265
Diamond Bar, CA 91765-4009

Mailing address

221 Avenida Melisenda
San Dimas, CA 91773-3952
Phone (909) 860-2880

National Provider Directory

National Provider Directory
Tax ID family
Shahin Psychological Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1930 S Brea Canyon Rd
#C265
Diamond Bar, CA 91765
Phone (909) 860-2880

NPI Registry JSON

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

{
    "created_epoch": "1232064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232064000000",
    "number": "1902043631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 AVENIDA MELISENDA",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733952",
            "telephone_number": "909-860-2880",
            "fax_number": "909-860-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 S BREA CANYON RD",
            "address_2": "C265",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654009",
            "telephone_number": "909-860-2880",
            "fax_number": "909-860-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHIN PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-16",
        "last_updated": "2009-01-16",
        "status": "A",
        "authorized_official_last_name": "SHAHIN",
        "authorized_official_first_name": "SANA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "909-225-0415",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY18852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Diamond Bar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; 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.