Active NPI
Shirin Sinai
- Clinical Psychologist
- Santa Monica, CA
National Provider Identifier
1922203934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY27533
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| PSY27533 | CA | MD | Clinical Psychologist |
| 2012029 | CA | MD | Rehabilitation Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthier Minds, Inc. a Professional Psychological Corporation | Mental Health | Current | Accepting new patients |
Locations
11740 San Vicente Blvd
Ste 109127
Los Angeles, CA 90049
Phone (855) 446-4637
Interoperability endpoints
- 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.
-
- Clinical Psychologist
- Los Angeles, CA
- NPI 1447831532
Mental Health
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.