Rachael Shanbrom Dadbin, M.A., LMFT # 138618

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

138618 Issued in CA

Practice address

5739 Kanan Road, PMB 376
Agoura Hills, CA 91301

Phone

(818) 309-6180

NPI assigned

Oct 19, 2012

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

Other names 1

• Rachael Farryn Shanbrom Former name

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": "1350604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1982957502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5872 WHEELHOUSE LN",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913011436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5739 KANAN ROAD, PMB 376",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "91301",
            "telephone_number": "818-309-6180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DADBIN",
        "first_name": "RACHAEL",
        "middle_name": "SHANBROM",
        "credential": "M.A., LMFT # 138618",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-19",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "138618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHAEL",
            "last_name": "SHANBROM",
            "middle_name": "FARRYN",
            "credential": "SA COUNSELOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Valerie G Cummings, PHD
• Cynthia Ann Cunningham, MFT
• Katherine J Curry, DMD
• CW Psychological Corporation
• Kristina D'Itri
• Stephanie Erin Dale, BCBA
• Maxcy Dancy, LMFT
• John R. Dandona, DMD
• Naghmeh Daneshrad
• Daniel C Flurry DC a Professional Corporation

• Marriage & Family Therapist in Agoura Hills, CA
• Providers in Agoura Hills, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.