DR. KIMBERLY K SHANE PSY.D
NPI 1053408419
Psychologist - Clinical in Los Angeles, CA

Active since October 06, 2006
3200 MOTOR AVE, LOS ANGELES, CA 90034(310) 836-1223 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kimberly K Shane Psy.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KIMBERLY K SHANE PSY.D (NPI 1053408419) is an individual clinical provider in Los Angeles, California, licensed in California (PSY21138) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1053408419
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KIMBERLY K SHANECredential: PSY.D
Location Address3200 MOTOR AVELos Angeles, CA 90034-3740
Mailing Address1404 Beckwith AveLos Angeles, CA 90049-3618 · (310) 625-4165
Sole ProprietorYes
Enumeration DateOctober 6, 2006
Last NPPES UpdateOctober 3, 2023
NPPES CertifiedOctober 3, 2023
NPI 1053408419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY21138
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

3200 MOTOR AVE, Los Angeles, CA 90034

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Rehabilitation Practitioner
3200 MOTOR AVE
LOS ANGELES, CA 90034
Rehabilitation Practitioner
3200 MOTOR AVE
LOS ANGELES, CA 90034
Social Worker (School)
3200 MOTOR AVE
LOS ANGELES, CA 90034
Student in an Organized Health Care Education/Training Program
3200 MOTOR AVE
LOS ANGELES, CA 90034
Speech-Language Pathologist
3200 MOTOR AVE
LOS ANGELES, CA 90034
Student in an Organized Health Care Education/Training Program
3200 MOTOR AVE
LOS ANGELES, CA 90034
Rehabilitation Practitioner
3200 MOTOR AVE
LOS ANGELES, CA 90034
Social Worker (Clinical)
3200 MOTOR AVE
LOS ANGELES, CA 90034

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Shane's NPI number?

The NPI number for Kimberly Shane is 1053408419. It was assigned to this individual provider in the NPPES registry on October 6, 2006.

Where is Kimberly Shane located?

Kimberly Shane practices at 3200 Motor Ave, Los Angeles, CA 90034. The listed phone number is (310) 836-1223.

What is Kimberly Shane's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Kimberly Shane was last updated on October 3, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.