Silver Lake Psychotherapy PC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SILVER LAKE PSYCHOTHERAPY PC

Doing business as

Silver Lake Psychotherapy

Practice address

1934 Hillhurst Ave
Los Angeles, CA 90027-2712

Phone

(323) 244-2066

Fax

(323) 275-0952

NPI assigned

May 16, 2014

Last updated

Dec 14, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Justin ShubertNPI 1659689412

Title

Psychologist

Phone

(323) 244-2066

Specialties & licenses 7

Addresses

Other identifiers 1

Other names 1

• Silver Lake Psychotherapy Doing business as

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Justin L Shubert, PSY.D.

  • Clinical Psychologist
  • Los Angeles, CA
  • NPI 1659689412
  NPD Authorized official
• Lauren Harb, PSY.D.

  • Clinical Psychologist
  • Los Angeles, CA
  • NPI 1679945729
  NPD (past)
• Amjad Hindi, M.D.

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1487854964
  NPD (past)
• Natalie Newton, LMFT

  • Marriage & Family Therapist
  • Garden Grove, CA
  • NPI 1003438607

  Psychoanalyst

  NPD (past)
• Crystle Prung, PH.D.

  • Clinical Psychologist
  • Los Angeles, CA
  • NPI 1437525524
  NPD (past)
• Negar Sarshar, LMFT

  • Marriage & Family Therapist
  • Los Angeles, CA
  • NPI 1740771393
  NPD (past)

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1922419548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1934 HILLHURST AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900272712",
            "telephone_number": "323-244-2066",
            "fax_number": "323-275-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1934 HILLHURST AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900272712",
            "telephone_number": "323-244-2066",
            "fax_number": "323-275-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER LAKE PSYCHOTHERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-16",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "SHUBERT",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "323-244-2066"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "PSY-23766",
            "primary": false
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALISON DAVIES",
            "identifier": "1952829418",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver Lake Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.