Nicole Shoumer, MA, LMFT

Primary specialty

PsychologistTaxonomy code 103T00000X

License

MFC114092 Issued in CA

Practice address

11650 Riverside Dr Ste 10
Studio City, CA 91602-1095

Phone

(310) 666-7288

NPI assigned

Jul 23, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1972156412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 SHADYBROOK DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902102031",
            "telephone_number": "310-666-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11650 RIVERSIDE DR STE 10",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916021095",
            "telephone_number": "310-666-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOUMER",
        "first_name": "NICOLE",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "MFC114092",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "MFC114092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randi Shannahan, PT, DPT
• Arielle Shapiro, LCSW
• Joseph Shapiro, MD
• Eleonora Sherman
• Nicholas Paul Shorty, COTA
• Gabrielle Shrier, M.P.T
• Elizaveta Siegal
• Signature Hospice Inc
• Philip Matthew Silverman, MFT
• Victoria Marie Simon, PH.D., MFT

• Psychologist in Studio City, CA
• Providers in Studio City, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.