| Katherine Shachar, Ph..d., Inc. | |
|
260 Newport Center Dr 402 Newport Beach CA 92660-7520 | |
| (949) 999-0857 | |
| (949) 721-5886 |
| Full Name | Katherine Shachar, Ph..d., Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 260 Newport Center Dr, Newport Beach, California |
| Authorized Official Name and Position | Katherine Bohan Shachar (PSYCHOLOGIST) |
| Authorized Official Contact | 9499990857 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Shachar, Ph..d., Inc. 260 Newport Center Dr 402 Newport Beach CA 92660-7520 Ph: (949) 999-0857 | Katherine Shachar, Ph..d., Inc. 260 Newport Center Dr 402 Newport Beach CA 92660-7520 Ph: (949) 999-0857 |
| NPI Number | 1518261494 |
|---|---|
| Provider Enumeration Date | 01/06/2011 |
| Last Update Date | 01/06/2011 |
| Medicare PECOS PAC ID | 1254513351 |
|---|---|
| Medicare Enrollment ID | O20110310000766 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518261494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PSY17620 (California) | Primary |
| Provider Name | Katherine B Shachar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992997407 PECOS PAC ID: 0749462836 Enrollment ID: I20110310000609 |
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