DR. SHABANA SOOMAR (NPI# 1700058096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700058096 |
| Entity Type | Individual |
| Full Name | DR. SHABANA SOOMAR |
| Other Name | MS. SHABANA LAKHANI |
| Credential | MS,PHD |
| Practice Address |
10423 Old Placerville Rd Ste A Sacramento CA 95827-2540 |
| Mailing Address |
701 Gibson Dr Apt 314 Roseville CA 95678-5737 |
| Practice Telephone | 9167375555 |
| Mailing Telephone | 9164725031 |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2020-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY30323 | CA | Behavioral Health & Social Service Providers |
| Street Address |
10423 OLD PLACERVILLE RD STE A |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95827-2540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669880399 | Alida Grace M Magtoto | Dentist | 10423 Old Placerville Rd Ste A, Sacramento, CA 95827-2540 | 2014-07-25 |
| 1578903597 | Meghan Mary Lefkowitz | Social Worker | 10423 Old Placerville Rd Ste A, Sacramento, CA 95827-2540 | 2013-07-05 |
| 1811247745 | Anita Lee | Dentist | 10423 Old Placerville Rd Ste A, Sacramento, CA 95827-2540 | 2012-09-18 |
| 1437404654 | Wellspace Health | Clinic/Center | 10423 Old Placerville Rd Ste A, Sacramento, CA 95827-2540 | 2012-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275170235 | Amy Braley | Occupational Therapist | Love Joy Adhc, 10293 Rockingham Dr, Sacramento, CA 95827 | 2019-12-09 |
| 1164078598 | Theresa Marie Reich | Home Health Aide | 9819 Lebra Avenue, Sacramento, CA 95827 | 2019-08-12 |
| 1790257475 | Elissa Beth Crandall | Counselor | 3353 Bradshaw Rd Ste 112, Sacramento, CA 95827 | 2018-12-19 |
| 1649746900 | Christopher Avery Di Domenico | Counselor | North Site: 4441 Auburn Blvd, Suite E, Sacramento, CA 95827 | 2018-10-15 |
| 1285156661 | Keith Ramon Blakely | Counselor | 9738 Lincoln Village, Sacramento, CA 95827 | 2017-07-07 |
| 1376065755 | Julianne Marlene Divirgilio | Counselor | 9738 Lincoln Village Dr., Sacramento, CA 95827 | 2017-07-07 |
| 1275981409 | Carl Phillips Jr. | Counselor | 2819 Pepper Oaks Dr, Sacramento, CA 95827 | 2016-05-27 |
| 1316335581 | Nancy Khun | Counselor | 3990 Branch Center Rd., Sacramento, CA 95827 | 2014-12-22 |
| 1750623385 | Davidshka Lynel Shavers | Counselor | 3340 Viking Dr, Suite 114, Sacramento, CA 95827 | 2013-03-21 |
| 1114263803 | John Kwamena Bankas | Marriage & Family Therapist | 9837 Folsom Blvd., Ste. F, Sacramento, CA 95827 | 2012-12-27 |
| Find all providers in zip 95827 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821608613 | Emily Fortney | Psychologist | 5960 S Land Park Dr # 1194, Sacramento, CA 95822-3313 | 2020-08-06 |
| 1750916177 | Assessment and Development Center of Sacramento | Psychologist | 1555 River Park Dr Ste 103, Sacramento, CA 95815-4603 | 2020-03-05 |
| 1376009068 | Alexis Piciucco | Psychologist | 9700 Business Park Dr Ste 207, Sacramento, CA 95827-1717 | 2019-02-18 |
| 1235625765 | John Alan Foster | Psychologist | 8943 Twin Falls Dr, Sacramento, CA 95826-2136 | 2018-07-09 |
| 1447609995 | Susan Mendez | Psychologist | 1453 45th St, Sacramento, CA 95819-4137 | 2016-06-06 |
| 1881065993 | Tara Cryderman | Psychologist | 2801 57th St, Sacramento, CA 95817-2403 | 2015-10-14 |
| 1194122069 | Satinder Gill | Psychologist | 4701 X St Ste E, Sacramento, CA 95817-2219 | 2014-11-20 |
| 1093119489 | Robert Alexander Prentice | Psychologist | 2228 Murieta Way, Sacramento, CA 95822-2851 | 2014-10-14 |
| 1407284516 | Christina Nicole Spragg | Psychologist | 2109 J St, Suite # 201, Sacramento, CA 95816-4709 | 2013-10-29 |
| 1891128062 | Sarvenaz Sepehri | Psychologist | 601 University Ave Ste 144, Sacramento, CA 95825-6706 | 2013-08-12 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95827 |
Please comment or provide details below to improve the information on DR. SHABANA SOOMAR.
| 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.