NPIMap

Organization Active NPI

Daniel D. Shirbroun, PHD, Inc, Psychologist

  • Clinical Psychologist
  • Yucca Valley, CA
National Provider Identifier
1982607784
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY4161 Issued in CA
Legal business name
DANIEL D. SHIRBROUN, PHD, INC, PSYCHOLOGIST
Practice address
7293 Dumosa Ave
Ste 8
Yucca Valley, CA 92284-3700
Phone
(760) 369-7166
Fax
(760) 369-7167
NPI assigned
May 24, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Daniel Dean Shirbroun, PHDNPI 1740349893
Title
Clinical Psychologist
Phone
(760) 369-7166

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY4161 CA Primary

Addresses

Primary practice location

7293 Dumosa Ave
Ste 8
Yucca Valley, CA 92284-3700

Mailing address

54045 Ridge Rd
Yucca Valley, CA 92284-8311
Phone (760) 365-2588

National Provider Directory

National Provider Directory

Locations

7293 Dumosa Ave
Ste 8
Yucca Valley, CA 92284
Phone (760) 369-7166

Practitioners & affiliated clinicians

Practitioners 23

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.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982607784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54045 RIDGE RD",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922848311",
            "telephone_number": "760-365-2588",
            "fax_number": "760-369-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7293 DUMOSA AVE",
            "address_2": "STE 8",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922843700",
            "telephone_number": "760-369-7166",
            "fax_number": "760-369-7167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL D. SHIRBROUN, PHD, INC, PSYCHOLOGIST",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHIRBROUN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "760-369-7166",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY4161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucca Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.