DR. SHANNON CHAVEZ QURESHI (NPI# 1376776492) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376776492 |
| Entity Type | Individual |
| Full Name | DR. SHANNON CHAVEZ QURESHI |
| Other Name | DR. SHANNON CHAVEZ |
| Credential | PSY.D. |
| Practice Address |
8484 Wilshire Blvd Suite 715 Beverly Hills CA 90211 |
| Mailing Address |
8484 Wilshire Blvd Suite 715 Beverly Hills CA 90211-3235 |
| Practice Telephone | 3239209473 |
| Mailing Telephone | 3239209473 |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2019-09-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
PSY26924 | CA | Behavioral Health & Social Service Providers |
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
PSY26924 | CA | Behavioral Health & Social Service Providers |
| Street Address |
8484 WILSHIRE BLVD SUITE 715 |
| City | BEVERLY HILLS |
| State | CA |
| Zip Code | 90211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871581413 | Stephen H Fink | Otolaryngology | 8484 Wilshire Blvd, Suite 200, Beverly Hills, CA 90211-3227 | 2005-10-07 |
| 1316218621 | New Vision Medical Group Inc Professional Corp | Psychiatry & Neurology | 8484 Wilshire Blvd, Suite 200, Beverly Hills, CA 90211-3227 | 2012-01-18 |
| 1891012191 | Sheila D Newton | Marriage & Family Therapist | 8484 Wilshire Blvd, Suite 502, Beverly Hills, CA 90211-3227 | 2010-04-26 |
| 1205096476 | Jonathan Reitman M.d., Inc. | Internal Medicine | 8484 Wilshire Blvd, Suite 200, Beverly Hills, CA 90211-3227 | 2008-06-11 |
| 1114186608 | Delight Medical Center, Inc | Family Medicine | 8484 Wilshire Blvd, Suite 670, Beverly Hills, CA 90211-3227 | 2008-06-09 |
| 1477740124 | Adelina Saldana | Acupuncturist | 8484 Wilshire Blvd, Suite 670, Beverly Hills, CA 90211-3227 | 2007-09-26 |
| 1063617074 | Mrh Medical Group Inc | Internal Medicine | 8484 Wilshire Blvd, Suite 200, Beverly Hills, CA 90211-3227 | 2007-06-19 |
| 1609914290 | Payam Ezra Kerendian | Family Medicine | 8484 Wilshire Blvd, Ste 670, Beverly Hills, CA 90211-3233 | 2007-02-03 |
| 1922157320 | Jonathan Reitman | Internal Medicine | 8484 Wilshire Blvd, Suite 200, Beverly Hills, CA 90211-3227 | 2007-01-09 |
| 1083761670 | Mark Robert Honzel | Specialist | 8484 Wilshire Blvd, Suite 200, Beverly Hills, CA 90211-3227 | 2007-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649817610 | Doris Yaghoubtil | Physician Assistant | 220 S. Hamel Dr., Beverly Hills, CA 90211 | 2019-12-09 |
| 1649831348 | Optimum Surgical Inc. | Clinic/Center | 9090 Wilshire Blvd Suite 100, Beverly Hills, CA 90211 | 2019-06-24 |
| 1760972467 | Francisco Javier Iribarren | Psychologist | 8383 Wilshire Blvd Ste 800, Beverly Hills, CA 90211 | 2018-05-17 |
| 1821533803 | The Wright Home Care Inc | Respite Care | 8383 Wiltshire Blvd, Suite 800, Beverly Hills, CA 90211 | 2016-12-29 |
| 1497298772 | Brain Health Acupuncture Center | Acupuncturist | 201 N. Robertson Boulevard, Suite 207, Beverly Hills, CA 90211 | 2016-11-18 |
| 1568918712 | Plbc Medical Group, Inc | Medical Genetics, Ph.D. Medical Genetics | 8900 Wilshire Blvd, Suite 300, Beverly Hills, CA 90211 | 2016-08-28 |
| 1104283084 | Gilbert Kwong | Dentist | 127 N. Wetherly Drive, Beverly Hills, CA 90211 | 2016-01-22 |
| 1033511126 | Michelle Dabadie | Prosthetic/Orthotic Supplier | 9022 Burton Way, Los Angeles, CA 90211 | 2014-09-19 |
| 1831599802 | Spine Group Beverly Hills Inc | Orthopaedic Surgery | 8929 Wilshire Blvd, Suite 302, Bevelry Hills, CA 90211 | 2014-08-27 |
| 1144653650 | Jean Alejo Fiore | Radiologic Technologist | 8670 Wilshire Boulevard, 300, Beverly Hills, CA 90211 | 2013-08-20 |
| Find all providers in zip 90211 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497607 | Michael J Hurtado | Psychologist | 5597 W Vartikian Ave, Fresno, CA 93722-3145 | 2020-11-06 |
| 1396374054 | Mark A Amparo | Psychologist | 5222 Balboa Ave Ste 33, San Diego, CA 92117-6953 | 2020-04-05 |
| 1043844459 | Nickolas Sloan Huston | Psychologist | 2371 W Main St Spc 57, Barstow, CA 92311-3614 | 2020-02-24 |
| 1366080418 | Denise Cherelle Rollins | Psychologist | 8619 Culpepper Dr, Sacramento, CA 95823-7658 | 2019-12-18 |
| 1124671136 | Ivan Butrus | Psychologist | 1516 Granite Hills Dr # Drb, El Cajon, CA 92019-5300 | 2019-07-18 |
| 1821659517 | Teresa Malyka Cheam | Psychologist | 301 The City Drive, Orange, CA 92868-3205 | 2019-06-24 |
| 1629633755 | Rans Shaaya | Psychologist | 520 Ballard St, El Cajon, CA 92019-2124 | 2019-05-03 |
| 1356823637 | Tin Joshua Pham | Psychologist | 1860 Walnut St. Suite A, Red Bluff, CA 96080-3611 | 2018-09-03 |
| 1184102238 | Ashley Jean Parker | Psychologist | 3575 Ridgewood Rd, Willits, CA 95490-9787 | 2018-08-01 |
| 1376039438 | Azia Brown | Psychologist | 365 Talbot Ave Apt M15, Pacifica, CA 94044-2667 | 2018-07-02 |
| Find all providers with the same taxonomy | ||||
| City | BEVERLY HILLS |
| Zip Code | 90211 |
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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.