Shahin Psychological Services. Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY18852 Issued in CA

Legal business name

SHAHIN PSYCHOLOGICAL SERVICES. INC.

Practice address

1111 Grand Ave
Ste M
Diamond Bar, CA 91765-4171

Phone

(909) 860-2880

Fax

(909) 860-2885

NPI assigned

Dec 4, 2012

Organization subpart

No

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

Authorized official

Name

Dr. B. John Shahin, PSY.D

Title

Ceo

Phone

(909) 860-2880

Specialties & licenses 1

Addresses

Tax ID family

Shahin Psychological Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Shahin Psychological Services, Inc.

  • Clinical Psychologist
  • Diamond Bar, CA
  • NPI 1902043631
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bishara John Shahin, PSY.D.

  • Clinical Psychologist
  • San Dimas, CA
  • NPI 1578612339
  NPD (past)

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354579200000",
    "number": "1992040869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1152 VIA VERDE",
            "address_2": "PMB 121",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917734401",
            "telephone_number": "909-860-2880",
            "fax_number": "909-860-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 GRAND AVE",
            "address_2": "STE M",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917654171",
            "telephone_number": "909-860-2880",
            "fax_number": "909-860-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAHIN PSYCHOLOGICAL SERVICES. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-04",
        "last_updated": "2012-12-04",
        "status": "A",
        "authorized_official_last_name": "SHAHIN",
        "authorized_official_first_name": "B. JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-860-2880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY18852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shah Wellness Medical Clinic Inc.
• Hitendra H. Shah, M.D.
• Nayan M Shah, MD
• Shivani Mukesh Shah, D.D.S.
• Shahin Psychological Services, Inc.
• Priyanka Shailat, MSC (SLP)., CCC-SLP
• Shalom Acupuncture
• Ekta Sharma, M.D., M.P.H.
• Shen Ling D.M.D. & Jin Kim D.D.S. Inc
• Serena Shen, DO

• Clinical Psychologist in Diamond Bar, CA
• Providers in Diamond Bar, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.