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SAMUEL YOUNG SHIN MA
NPI 1831654417
Counselor - Mental Health in Pasadena, CA

Active since February 07, 2019
112 N MAR VISTA AVE APT 9, PASADENA, CA 91106(505) 403-6035 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 11, 2025, Jul 19, 2024, Feb 7, 2019 (3 updates tracked since 2019).

About Samuel Young Shin Ma NPPES

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

SAMUEL YOUNG SHIN MA (NPI 1831654417) is an individual mental health provider in Pasadena, California and active in the NPI registry since February 2019.

NPPES Registry Identity

NPI1831654417
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSAMUEL YOUNG SHINCredential: MA
Location Address112 N MAR VISTA AVE APT 9Pasadena, CA 91106-1428
Mailing Address112 N Mar Vista Ave Apt 9Pasadena, CA 91106-1428 · (505) 403-6035
Phone(505) 403-6035
Sole ProprietorYes
Enumeration DateFebruary 7, 2019
Last NPPES UpdateSeptember 11, 20253 updates tracked since enumeration
NPPES CertifiedJuly 19, 2024
✔ NPI 1831654417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X

Reviews for SAMUEL YOUNG SHIN MA

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Frequently Asked Questions

What is Samuel Shin's NPI number?

The NPI number assigned to this healthcare provider is 1831654417, enumerated as an "individual" on February 07, 2019.

Where is the provider located?

The provider is located at 112 N MAR VISTA AVE APT 9 PASADENA, CA 91106 and the phone number is (505) 403-6035.

What is the provider's specialty?

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.