Shirley Shih-I Liao, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY22273 Issued in CA

Practice address

17632 Irvine Blvd
#250
Tustin, CA 92780-3148

Phone

(714) 265-7939

Fax

(714) 508-7301

NPI assigned

Feb 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2017 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Seaside Psychotherapy and Training Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Huntington Beach, CA
  • NPI 1427792373
  NPD Authorized official

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255996800000",
    "number": "1902931108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17632 IRVINE BLVD",
            "address_2": "250",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803148",
            "telephone_number": "310-873-7579",
            "fax_number": "714-508-7301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17632 IRVINE BLVD",
            "address_2": "#250",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803148",
            "telephone_number": "714-265-7939",
            "fax_number": "714-508-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIAO",
        "first_name": "SHIRLEY",
        "middle_name": "SHIH-I",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-21",
        "last_updated": "2009-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY22273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Leyva
• Davin Li, D.D.S.
• Kevin Li
• Ya-Shu Liang, PH.D.
• Otto Liao, M.D.
• Leanne Alexis Libas, ASW
• Alan Liberman, PH.D.
• Liberty Benefits Administrators, Inc.
• Liberty Dental and Vision, Inc.
• Liberty Dental Plan

• Clinical Psychologist in Tustin, CA
• Providers in Tustin, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.