SHAYNA ALYSE CARROLL (NPI# 1649829474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649829474 |
| Entity Type | Individual |
| Full Name | SHAYNA ALYSE CARROLL |
| Practice Address |
11643 Glenoaks Blvd Pacoima CA 91331-1050 |
| Mailing Address |
4760 Sepulveda Blvd Culver City CA 90230-4820 |
| Practice Telephone | 8188972609 |
| Practice Fax Number | 8188907159 |
| Mailing Telephone | 2133813626 |
| Mailing Fax Number | 2133808923 |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 115324 | CA | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
11643 GLENOAKS BLVD |
| City | PACOIMA |
| State | CA |
| Zip Code | 91331-1050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912107376 | Susan P. Diamond | Marriage & Family Therapist | 11643 Glenoaks Blvd, Pacoima, CA 91331-1050 | 2007-07-23 |
| 1548813488 | Megan M De Santis | Case Manager/Care Coordinator | 11643 Glenoaks Blvd, Pacoima, CA 91331-1050 | 2019-07-19 |
| 1003474636 | Angelica Marie Churchian | Marriage & Family Therapist | 11643 Glenoaks Blvd, Pacoima, CA 91331-1099 | 2019-05-29 |
| 1932663705 | Nicole Cunningham | Counselor | 11643 Glenoaks Blvd, Pacoima, CA 91331-1050 | 2019-01-25 |
| 1891259024 | Stephanie Eve Halpern | Nurse Practitioner | 11643 Glenoaks Blvd, Pacoima, CA 91331-1099 | 2019-01-22 |
| 1033681606 | Nadine Linares | Counselor | 11643 Glenoaks Blvd, Pacoima, CA 91331-1050 | 2018-12-20 |
| 1376012302 | Aileen Stephanie Palomino | Counselor | 11643 Glenoaks Blvd, Pacoima, CA 91331-1050 | 2018-11-20 |
| 1932674017 | Karina Lopez | Counselor | 11643 Glenoaks Blvd, Pacoima, CA 91331-1050 | 2018-10-04 |
| 1033695432 | Vanessa Dominga Santos | Counselor | 11643 Glenoaks Blvd, Pacoima, CA 91331-1050 | 2018-07-18 |
| 1124517370 | Chrissy Wendel Smith | Counselor | 11643 Glenoaks Blvd, Pacoima, CA 91331-1050 | 2018-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992315956 | Kimberly Marie Tallas | Dental Assistant | 9745 Laurel Canyon, Pacoima, CA 91331 | 2020-08-05 |
| 1841822574 | Hathaway-sycamores Child and Family Services | Psychologist | 11505 Herrick Ave, Pacoima, CA 91331 | 2020-02-11 |
| 1649810995 | Amaris Care Inc | Home Health | 8953 Woodman Ave Ste 201, Arleta, CA 91331 | 2020-01-14 |
| 1801453758 | Hathaway Sycamores Child and Family Services | Psychologist | 13233 Eustace St., Pacoima, CA 91331 | 2019-05-28 |
| 1083189807 | Angelina Rosina Guzman | Student in an Organized Health Care Education/Training Program | 13459 Filmore St, 1/4, Pacoima, CA 91331 | 2018-10-08 |
| 1467972364 | Msa Pharmaceutical Services Corporation | Pharmacy | 9720 Woodman Ave, Arleta, CA 91331 | 2017-06-21 |
| 1508213588 | Yari Meita Fanusie | Counselor | 11643 Glenoaks Blvd., Pacoima, CA 91331 | 2016-05-19 |
| 1972992915 | Ray Ayala | Counselor | 16643 Glenoaks Bl., Pacoima, CA 91331 | 2015-01-14 |
| 1538569249 | Ludivina Gutierrez | Occupational Therapist | 14061 Terra Bella Street, Arleta, CA 91331 | 2014-08-29 |
| 1043646557 | Umoh-chidi Daniel | Physical Therapist | 12418 Gain St., Pacoima, CA 91331 | 2013-09-17 |
| Find all providers in zip 91331 | ||||
| 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 |
|---|---|---|---|---|
| 1568908606 | Ivette Rochin Pelayo | Marriage & Family Therapist | 11226 Tamarack Ave, Pacoima, CA 91331-2734 | 2017-01-12 |
| 1457631939 | Julie Ilene Hey | Marriage & Family Therapist | 12510 Van Nuys Blvd Ste 210, Pacoima, CA 91331-1338 | 2011-08-28 |
| 1912107376 | Susan P. Diamond | Marriage & Family Therapist | 11643 Glenoaks Blvd, Pacoima, CA 91331-1050 | 2007-07-23 |
| 1972635290 | Ericka Yvette S. Germon | Marriage & Family Therapist | 11300 Glenoaks Blvd, Pacoima, CA 91331-1622 | 2007-03-12 |
| 1821129909 | Lin Min Kong | Marriage & Family Therapist | 12510 Van Nuys Blvd Ste 201, Pacoima, CA 91331-6732 | 2007-03-08 |
| 1275661159 | Alicia Susana Rufman-levine | Marriage & Family Therapist | 12501 Van Nuys Blvd, 2nd Floor, Pacoima, CA 91331-1355 | 2007-03-01 |
| 1003474636 | Angelica Marie Churchian | Marriage & Family Therapist | 11643 Glenoaks Blvd, Pacoima, CA 91331-1099 | 2019-05-29 |
| 1497213201 | Kristine Arakelian | Marriage & Family Therapist | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2019-03-11 |
| 1619435153 | Lindsey Lovier | Marriage & Family Therapist | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2019-03-04 |
| 1316446552 | Camille Williams | Marriage & Family Therapist | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2018-02-02 |
| Find all providers in PACOIMA | ||||
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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.