EDWARD JONGEUN SHIN
NPI 1356857387
Marriage & Family Therapist in Riverside, CA

Q: What is Edward Shin's NPI number?

The NPI number for Edward Shin is 1356857387. It was assigned to this individual provider in the NPPES registry on December 28, 2017.

Q: What is Edward Shin's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Edward Shin was last updated on December 28, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 28, 2017

2085 RUSTIN AVE, SUITE 2002, RIVERSIDE, CA 92507(951) 955-7320(951) 955-7203 Get Directions Write a Review

NPPES record last updated: December 28, 2017. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Edward Jongeun Shin NPPES

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

EDWARD JONGEUN SHIN (NPI 1356857387) is an individual marriage & family therapist in Riverside, California, licensed in California (40646) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1356857387

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameEDWARD JONGEUN SHIN

Location Address2085 RUSTIN AVE, SUITE 2002Riverside, CA 92507

Mailing Address136 N Lohrum LnAnaheim, CA 92807-3114 · (951) 955-7320 · Fax (951) 955-7203

Phone(951) 955-7320

Fax(951) 955-7203

Sole ProprietorYes

Enumeration DateDecember 28, 2017

✔ NPI 1356857387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 40646

Definition

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.

2085 RUSTIN AVE, Riverside, CA 92507

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

MR. LUIS CARLOS LAMADRID B.A.,CAS. MSW

Social Worker