| Karine Shakib, Psy.d., A Psychological Corporation | |
|
16055 Ventura Blvd Suite 700 Encino CA 91436-2601 | |
| (818) 903-1972 | |
| (818) 691-0253 |
| Full Name | Karine Shakib, Psy.d., A Psychological Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 16055 Ventura Blvd, Encino, California |
| Authorized Official Name and Position | Karine Shakib (CLINICAL PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 8189031972 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Karine Shakib, Psy.d., A Psychological Corporation 15021 Ventura Blvd #406 Sherman Oaks CA 91403-2442 Ph: (818) 903-1972 | Karine Shakib, Psy.d., A Psychological Corporation 16055 Ventura Blvd Suite 700 Encino CA 91436-2601 Ph: (818) 903-1972 |
| NPI Number | 1134460025 |
|---|---|
| Provider Enumeration Date | 03/03/2013 |
| Last Update Date | 03/03/2013 |
| Medicare PECOS PAC ID | 1052558210 |
|---|---|
| Medicare Enrollment ID | O20130507000103 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134460025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY23343 (California) | Primary |
| Provider Name | Karine Shakib-beltran |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558579136 PECOS PAC ID: 5799813804 Enrollment ID: I20100511000942 |
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