NICOLE SHOUMER (NPI# 1972156412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972156412 |
| Entity Type | Individual |
| Full Name | NICOLE SHOUMER |
| Credential | MA, LMFT |
| Practice Address |
11650 Riverside Dr Ste 10 Studio City CA 91602-1095 |
| Mailing Address |
1323 Shadybrook Dr Beverly Hills CA 90210-2031 |
| Practice Telephone | 3106667288 |
| Mailing Telephone | 3106667288 |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2019-07-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | MFC114092 | CA | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
MFC114092 | CA | Behavioral Health & Social Service Providers |
| Street Address |
11650 RIVERSIDE DR STE 10 |
| City | STUDIO CITY |
| State | CA |
| Zip Code | 91602-1095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932401932 | Katie Jo Sanford | Counselor | 11650 Riverside Dr Ste 10, Studio City, CA 91602 | 2010-11-23 |
| 1639690993 | Emily Belgard | Marriage & Family Therapist | 11650 Riverside Dr Ste 10, Studio City, CA 91602-1095 | 2017-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679112882 | Da Oum Remnant Acupuncture Corporation | Acupuncturist | 10674 Riverside Drive, North Hollywood, CA 91602 | 2020-01-06 |
| 1043704927 | Brandi Carter | Nurse Practitioner | 10222 Camarillo St Apt 107, Toluca Lake, CA 91602 | 2018-06-14 |
| 1669904587 | Katelyn Story Kalstein | Naturopath | 11650 Riverside Dr., Ph-2a, Studio City, CA 91602 | 2017-03-30 |
| 1255781118 | Karla Morales | Dental Hygienist | 10707 Camarillo St, #305, West Toluca Lake, CA 91602 | 2016-06-21 |
| 1457738536 | Mallory Garrett | Marriage & Family Therapist | 10737 Riverside Dr, N Hollywood, CA 91602 | 2015-04-28 |
| 1831590322 | Victoria J. Chan | Nurse Practitioner | 4418 Vineland Avenue Suite 102, Toluca Lake, CA 91602 | 2014-09-16 |
| 1679916076 | Richard Villasenor | Ophthalmology | 10520 Camarillo St, Toluca Lake, CA 91602 | 2013-04-16 |
| 1275878233 | Julissa Trusty | Marriage & Family Therapist | 11334 Camarillo St, North Hollywood, CA 91602 | 2012-12-03 |
| 1265789531 | Marina Serobyan | Marriage & Family Therapist | 10999 Riverside Drive, Suite 306, Toluca Lake, CA 91602 | 2012-08-06 |
| 1407133457 | Hearing Aid Counselors, Inc | Durable Medical Equipment & Medical Supplies | 11008 Riverside Dr, Toluca Lake, CA 91602 | 2011-11-04 |
| Find all providers in zip 91602 | ||||
| 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 |
|---|---|---|---|---|
| 1093259715 | Jaclyn Zeccola | Psychologist | 11712 Moorpark St Ste 204b, Studio City, CA 91604-2158 | 2016-12-14 |
| 1033584818 | Paula Thomson | Psychologist | 4160 Bakman Ave, Studio City, CA 91602-3319 | 2015-12-05 |
| 1679861967 | Robin Amy Gans | Psychologist | 4257 Lemp Ave, Studio City, CA 91604-2812 | 2011-07-20 |
| 1740590439 | Lynne Friedman-gell | Psychologist | 13263 Ventura Blvd Ste 11, Studio City, CA 91604-1839 | 2010-10-14 |
| 1568791275 | Melissa M. Lewis | Psychologist | 12400 Ventura Blvd # 8, Studio City, CA 91604-2406 | 2009-12-09 |
| 1972770899 | Neda Safvati | Psychologist | 12522 Moorpark St Ste 106, Studio City, CA 91604-1355 | 2008-05-09 |
| 1114079126 | George Jacob Lough II | Psychologist | 12444 Ventura Blvd Ste 206, Studio City, CA 91604-2409 | 2007-01-18 |
| 1114002243 | Sandi J. Fischer | Psychologist | 12400 Ventura Blvd, Suite 230, Studio City, CA 91604-2406 | 2006-10-26 |
| 1013920610 | Peggy L Irwin | Psychologist | 3300 Fryman Road, Studio City, CA 91604 | 2006-08-14 |
| 1063436459 | Stephen J. Howard | Psychologist | 12725 Ventura Blvd, Studio City, CA 91604-2437 | 2006-07-27 |
| Find all providers in STUDIO CITY | ||||
| City | STUDIO CITY |
| Zip Code | 91602 |
Please comment or provide details below to improve the information on NICOLE SHOUMER.
| 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.