Individual provider Active NPI

Shirin Sinai

  • Clinical Psychologist
  • Santa Monica, CA
National Provider Identifier
1922203934
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY27533 Issued in CA
Practice address
1527 4TH St
Ste 200
Santa Monica, CA 90401-2358
Phone
(310) 576-2550
Fax
(310) 264-6647
NPI assigned
Jun 19, 2007
Reactivated
Apr 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Psychologist 103TR0400X 2012029 CA
Mental Health Counselor 101YM0800X
Clinical Psychologist 103TC0700X PSY27533 CA Primary

Addresses

Primary practice location

1527 4TH St
Ste 200
Santa Monica, CA 90401-2358

Mailing address

1453 16TH St
Santa Monica, CA 90404-2715
Phone (310) 264-6646

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY27533CAMDClinical Psychologist
2012029CAMDRehabilitation Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthier Minds, Inc. a Professional Psychological Corporation Mental Health CurrentSince Jan 25, 2023 Accepting new patients

Locations

11740 San Vicente Blvd
Ste 109127
Los Angeles, CA 90049
Phone (855) 446-4637

Interoperability endpoints

  • Direct secure messaging: shirin.sinai.1@28394.direct.athenahealth.com

Organizations & group practices 1

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": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1922203934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1453 16TH ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042715",
            "telephone_number": "310-264-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 4TH ST",
            "address_2": "STE 200",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012358",
            "telephone_number": "310-576-2550",
            "fax_number": "310-264-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINAI",
        "first_name": "SHIRIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2018-09-26",
        "deactivation_date": "2012-03-01",
        "reactivation_date": "2012-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "CA",
            "license": "2012029",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY27533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.