SHABRINA AZIM (NPI# 1053674283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053674283 |
| Entity Type | Individual |
| Full Name | SHABRINA AZIM |
| Practice Address |
7300 Wyndham Dr Sacramento CA 95823-4913 |
| Mailing Address |
1275 30th St San Diego CA 92154-3476 |
| Practice Telephone | 9165256649 |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2020-04-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
7300 WYNDHAM DR |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95823-4913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679546808 | May Jung Kim | Clinical Neuropsychologist | 7300 Wyndham Dr, Sacramento, CA 95823-4913 | 2006-02-08 |
| 1144714627 | Phoebe Parnelle Sewell | Audiologist | 7300 Wyndham Dr, Sacramento, CA 95823-4913 | 2018-06-19 |
| 1306378799 | Calvin Lieu | Pharmacist | 7300 Wyndham Dr, Pharmacy Department, Sacramento, CA 95823-4913 | 2017-04-03 |
| 1215468616 | Ngocdiem Vo | Pharmacist | 7300 Wyndham Dr, Sacramento, CA 95823-4913 | 2017-03-27 |
| 1316478639 | Tuyen Lam | Pharmacist | 7300 Wyndham Dr, Sacramento, CA 95823-4913 | 2017-03-27 |
| 1316331788 | Sharon Xiaoyue Li | Otolaryngology | 7300 Wyndham Dr, Sacramento, CA 95823-4913 | 2015-03-24 |
| 1942558218 | Joshua Michael Nitenson | Audiologist | 7300 Wyndham Dr, Sacramento, CA 95823-4913 | 2012-08-17 |
| 1154683308 | Edna Lila Ochoa | Social Worker | 7300 Wyndham Dr, Sacramento, CA 95823-4913 | 2012-06-13 |
| 1003103763 | Tyler Christian Oakes | Audiologist | 7300 Wyndham Dr, Sacramento, CA 95823-4913 | 2011-07-01 |
| 1326363409 | Thomas Richard O'toole | Otolaryngology | 7300 Wyndham Dr, Sacramento, CA 95823-4913 | 2010-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343422 | Renee Yvonne Friesner | Registered Nurse | 6965 65th Street, Sacramento, CA 95823 | 2020-10-12 |
| 1790392165 | Amanda Moore | Technician | 6445 Village Center Dr, Building 7 Apt 101, Sacramento, CA 95823 | 2020-09-29 |
| 1114562766 | Daniel & Max, LLC | Optometrist | 4200 Florin Road, Suite C, Florin, CA 95823 | 2019-11-07 |
| 1396393823 | Lannon Hope Gustafson | Counselor | 8573 E Southgate Dr., Sacramento, CA 95823 | 2019-08-28 |
| 1932768280 | Sprenger Behavioral Medicine, Inc | Psychiatry & Neurology | 7601 Hospital Drive Suite 202, Suite 202, Sacramento, CA 95823 | 2019-06-11 |
| 1306316880 | Evin Johnson | Case Manager/Care Coordinator | 7000 Franklin Blvd Suite 625, Sacramento, CA 95823 | 2018-11-28 |
| 1902373095 | Alexandra L Bourcy | Family Medicine | 7275 E Southgate Dr Ste 204-206, Sacramento, CA 95823 | 2018-10-27 |
| 1891298923 | Nicholas Joseph Henderson | Behavior Technician | 6500 47th Street Apt#76, Sacramento, CA 95823 | 2018-03-15 |
| 1427567098 | Luz Maria Udave | Behavior Technician | 5435 Mack Rd Apt 87, Sacramento, CA 95823 | 2017-09-26 |
| 1417474743 | Elizabeth Smithers | Behavior Technician | 5545 Sky Parkway #202, Sacramento, CA 95823 | 2017-08-28 |
| Find all providers in zip 95823 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669098885 | Alexander Laszlo Peterkin | Psychologist | 4500 Truxel Rd Apt 834, Sacramento, CA 95834-3739 | 2020-06-23 |
| 1548881667 | Jene Edwards | Psychologist | 3090 Fite Cir Ste 102, Sacramento, CA 95827-1810 | 2020-04-29 |
| 1215597968 | Kaitlyn Hoitomt | Psychologist | 3331 Power Inn Rd # 140, Sacramento, CA 95826-3889 | 2019-06-15 |
| 1215452925 | Tiffany Chang | Psychologist | 1500 W El Camino Ave # 420, Sacramento, CA 95833-1945 | 2017-08-03 |
| 1699220046 | Kira Christensen | Psychologist | 3630 Winding Creek Rd, Sacramento, CA 95864-1531 | 2016-08-15 |
| 1932565769 | First Love Yourself Inc. | Psychologist | 3425 1st Ave, Apartment 4, Sacramento, CA 95817-2034 | 2016-01-09 |
| 1649682469 | Walter (rusty) Wallace Otto | Psychologist | 1970 University Park Drive, Sacramento, CA 95825 | 2014-05-28 |
| 1912332107 | Laura Magdalen Tully | Psychologist | 4701 X St, Uc Davis Imaging Research Center, Sacramento, CA 95817-2219 | 2013-09-06 |
| 1154763936 | Jonathan Preiss | Psychologist | 801 Alhambra Blvd Ste 2b, Sacramento, CA 95816-4432 | 2013-07-22 |
| 1700165016 | Donald Lawrence Salz | Psychologist | 2540 Land Park Dr, Sacramento, CA 95818-2244 | 2011-08-04 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95823 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.