SHEHEREZAD SHASHAANI (NPI# 1124640040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124640040 |
| Entity Type | Individual |
| Full Name | SHEHEREZAD SHASHAANI |
| Credential | LMFT |
| Practice Address |
4000 Barranca Pkwy Ste 250 Irvine CA 92604-1713 |
| Mailing Address |
2218 Via Mariposa E Unit A Laguna Woods CA 92637-2260 |
| Practice Telephone | 3109489662 |
| Mailing Telephone | 3109489662 |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-05-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MFC41923 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2730 Wilshire Blvd Ste 600, Santa Monica, CA 904034755 | 3109489662 |
| Street Address |
4000 BARRANCA PKWY STE 250 |
| City | IRVINE |
| State | CA |
| Zip Code | 92604-1713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871524546 | Katherine Ko | Psychologist | 4000 Barranca Pkwy Ste 250, Irvine, CA 92604-1713 | 2006-07-05 |
| 1407456825 | Vitality Integrative Wellness | Internal Medicine | 4000 Barranca Pkwy Ste 250, Irvine, CA 92604-1713 | 2020-10-26 |
| 1174090856 | Vitality Integrative Physicians | Internal Medicine | 4000 Barranca Pkwy Ste 250, Irvine, CA 92604-1713 | 2018-10-31 |
| 1194208322 | Vitality Integrative Physicians | Internal Medicine | 4000 Barranca Pkwy Ste 250, Irvine, CA 92604-1713 | 2018-09-13 |
| 1689924243 | Heidi Nicole Somphithack | Counselor | 4000 Barranca Pkwy Ste 250, Irvine, CA 92604-1713 | 2012-09-11 |
| 1932219318 | Badri Moghadam | Psychologist | 4000 Barranca Pkwy Ste 250, Irvine, CA 92604-1713 | 2006-08-30 |
| 1265459911 | Katherine Y. Ko, Ph.d. & Associates, A Psychological Association | Psychologist | 4000 Barranca Pkwy Ste 250, Irvine, CA 92604-1713 | 2006-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417643 | New Skin and Body Aesthetics Inc | Internal Medicine | 4980 Barranca Parkway, 201, Irvine, CA 92604 | 2020-11-02 |
| 1679091144 | Alan Chang | Pharmacist | 5385 Alton Parkway, Irvine, CA 92604 | 2017-09-06 |
| 1942751599 | Haleh Ranjijifroody | Chiropractor | 4980 Barranca Parkway Unit 200, Irvine, CA 92604 | 2016-10-19 |
| 1265982136 | Nora M Balke | Nurse Practitioner | 4968 Booth Cir Ste 110, Irvine, CA 92604 | 2016-10-04 |
| 1679945612 | Cvs Pharmacy | Pharmacist | 15333 Culver Drive, Suite 300, Irvine, CA 92604 | 2015-10-29 |
| 1184016230 | Keri Blasingame | Nurse Practitioner | 4980 Barranca Parkway Suite 200, Irvine, CA 92604 | 2015-02-26 |
| 1679979827 | Oc Women's Health,apc | Obstetrics & Gynecology | 14252 Culver Drive Suite A 499, Irvine, CA 92604 | 2014-11-17 |
| 1326443920 | Peter Sumarsono Professional Dental Corporation | Preferred Provider Organization | 4605 Barranca Parkway., 200, Irvine, CA 92604 | 2014-10-27 |
| 1164832218 | Abdiel Noe Hernandez | Driver | 14252 Culver Drive Ste A, Irvine, CA 92604 | 2014-04-29 |
| 1811315781 | Trisha Sharma | Internal Medicine | 6 Willard St, Kaiser Permanente- Barranca Medical Office Building, Irvine, CA 92604 | 2014-03-28 |
| Find all providers in zip 92604 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972102358 | Alana Model Heavirland | Marriage & Family Therapist | 8 Misty Shadow, Irvine, CA 92603-3766 | 2020-10-18 |
| 1225651482 | Jacalyn Jay Schoen | Marriage & Family Therapist | 17682 Mitchell N Ste 104, Irvine, CA 92614-6094 | 2020-05-22 |
| 1033730700 | Jodi Paris | Marriage & Family Therapist | 64 Sagan, Irvine, CA 92618-1332 | 2020-05-04 |
| 1629615984 | Sara Afsharpour | Marriage & Family Therapist | 2001 Business Center Dr, # 150, Irvine, CA 92612 | 2019-12-05 |
| 1265099527 | Kelley Kuit | Marriage & Family Therapist | 1682 Langley Ave, Irvine, CA 92614-5620 | 2019-05-22 |
| 1154888055 | Rafael Speck | Marriage & Family Therapist | 9 Barcelona, Irvine, CA 92614-5315 | 2019-02-27 |
| 1578020582 | Craig Hanggie | Marriage & Family Therapist | 335 Grand Canal, Irvine, CA 92620-1883 | 2019-02-26 |
| 1598220535 | Dorise Hebenstreit | Marriage & Family Therapist | 2151 Michelson Dr Ste 286, Irvine, CA 92612 | 2019-02-04 |
| 1801369244 | Shellee Mi Moore | Marriage & Family Therapist | 20 Corporate Park Ste 215, Irvine, CA 92606-3111 | 2019-01-08 |
| 1588133920 | Summer Witty | Marriage & Family Therapist | 152 Full Moon, Irvine, CA 92618-8806 | 2018-11-14 |
| Find all providers in IRVINE | ||||
Please comment or provide details below to improve the information on SHEHEREZAD SHASHAANI.
| 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.