Individual provider Active NPI

Marc Shatz, PH.D.

  • Family Psychologist
  • Beverly Hills, CA
National Provider Identifier
1982814604
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family PsychologistTaxonomy code 103TF0000X
License
PSY#4257 Issued in CA
Practice address
152 S Lasky Dr
Penthouse Suite
Beverly Hills, CA 90212-1720
Phone
(310) 274-9200
Fax
(310) 446-6648
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychoanalyst 102L00000X PSY#4257 CA
Addiction (Substance Use Disorder) Psychologist 103TA0400X PSY#4257 CA
Clinical Psychologist 103TC0700X PSY#4257 CA
Counseling Psychologist 103TC1900X PSY#4257 CA
Family Psychologist 103TF0000X PSY#4257 CA Primary
Marriage & Family Therapist 106H00000X PSY#4257 CA

Addresses

Primary practice location

152 S Lasky Dr
Penthouse Suite
Beverly Hills, CA 90212-1720

Mailing address

152 South Lasky Drive
Penthouse Suite
Beverly Hills, CA 90212
Phone (310) 274-9200

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY#4257CAMDAddiction (Substance Use Disorder) Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1982814604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 SOUTH LASKY DRIVE",
            "address_2": "PENTHOUSE SUITE",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "90212",
            "telephone_number": "310-274-9200",
            "fax_number": "310-446-6648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 S LASKY DR",
            "address_2": "PENTHOUSE SUITE",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121720",
            "telephone_number": "310-274-9200",
            "fax_number": "310-446-6648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHATZ",
        "first_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "CA",
            "license": "PSY#4257",
            "primary": false
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "PSY#4257",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY#4257",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "PSY#4257",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "CA",
            "license": "PSY#4257",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "PSY#4257",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.