SHANNI TAL PSYD
NPI 1609393958
Psychologist - Clinical in San Diego, CA

Active since August 28, 2017Opted out of Medicare · through Aug 9, 2027
2221 CAMINO DEL RIO S STE 200, SAN DIEGO, CA 92108(619) 275-2286 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 5, 2023, Aug 28, 2017 (2 updates tracked since 2017).

About Shanni Tal Psyd NPPES

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

SHANNI TAL PSYD (NPI 1609393958) is an individual clinical provider in San Diego, California, licensed in California (PSY34230) and active in the NPI registry since August 2017. She has opted out of Medicare through August 9, 2027 and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1609393958
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameSHANNI TALCredential: PSYD
Location Address2221 CAMINO DEL RIO S STE 200San Diego, CA 92108-3609
Mailing Address2221 Camino Del Rio S Ste 200San Diego, CA 92108-3609 · (619) 275-2286
Sole ProprietorYes
Enumeration DateAugust 28, 2017
Last NPPES UpdateSeptember 20, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2023
NPI 1609393958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY34230
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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
2221 CAMINO DEL RIO S STE 200, San Diego, CA 92108

Secondary Practice Locations 2

Location 13252 Holiday Ct Ste 201LA Jolla, CA 92037-1808 · Phone (858) 371-3737 ext. 102
Location 25252 Balboa Ave Ste 408San Diego, CA 92117-6939 · Phone (619) 500-2250

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Shanni Tal Psyd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 9, 2023 through August 9, 2027.

Opt-Out Effective DateAugust 9, 2023
Opt-Out In Effect ThroughAugust 9, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 9

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

Psychologist (Clinical)
2221 CAMINO DEL RIO S STE 200
SAN DIEGO, CA 92108
Psychologist
2221 CAMINO DEL RIO S STE 200
SAN DIEGO, CA 92108
Psychologist
2221 CAMINO DEL RIO S STE 200
SAN DIEGO, CA 92108
Psychologist
2221 CAMINO DEL RIO S STE 200
SAN DIEGO, CA 92108
Psychologist (Cognitive & Behavioral)
2221 CAMINO DEL RIO S STE 200
SAN DIEGO, CA 92108
Psychologist (Clinical)
2221 CAMINO DEL RIO S STE 200
SAN DIEGO, CA 92108
Psychologist (Clinical Child & Adolescent)
2221 CAMINO DEL RIO S STE 200
SAN DIEGO, CA 92108
Psychologist (Clinical)
2221 CAMINO DEL RIO S STE 200
SAN DIEGO, CA 92108

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 Shanni Tal's NPI number?

The NPI number for Shanni Tal is 1609393958. It was assigned to this individual provider in the NPPES registry on August 28, 2017.

Where is Shanni Tal located?

Shanni Tal practices at 2221 Camino Del Rio S Ste 200, San Diego, CA 92108. The listed phone number is (619) 275-2286.

What is Shanni Tal's specialty?

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

Is Shanni Tal enrolled in Medicare?

No. Shanni Tal has opted out of Medicare through August 9, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Shanni Tal was last updated on September 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.