DR. BONNY SHAM PSY.D.
NPI 1891153243
Psychologist - Clinical in Los Angeles, CA

Q: What is Bonny Sham's NPI number?

The NPI number for Bonny Sham is 1891153243. It was assigned to this individual provider in the NPPES registry on January 31, 2016.

Q: What is Bonny Sham's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Bonny Sham was last updated on March 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 January 31, 2016PECOS EnrolledAccepts Medicare Assignment

1328 WESTWOOD BLVD STE 23, LOS ANGELES, CA 90024(310) 203-1568 Get Directions Write a Review

NPPES record last updated: March 2, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 2, 2016, Jan 31, 2016 (2 updates tracked since 2016).

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About Dr. Bonny Sham Psy.d. NPPES

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

DR. BONNY SHAM PSY.D. (NPI 1891153243) is an individual clinical provider in Los Angeles, California, licensed in California (PSY19539) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1891153243

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. BONNY SHAMCredential: PSY.D.

Location Address1328 WESTWOOD BLVD STE 23Los Angeles, CA 90024-4931

Mailing Address1328 Westwood Blvd Ste 23Los Angeles, CA 90024-4931 · (310) 203-1568

Phone(310) 203-1568

Sole ProprietorYes

Medical School CMSOtherGraduated 2001

Enumeration DateJanuary 31, 2016

Last NPPES UpdateMarch 2, 20162 updates tracked since enumeration

✔ NPI 1891153243 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 · PSY19539

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.

1328 WESTWOOD BLVD STE 23, Los Angeles, CA 90024

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Bonny Sham Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284929696

PECOS Enrollment IDI20201231000509

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90024 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$187.60 typical visit price

range $62.96 – $187.60

Typical copayment $46.90 (range $15.74 – $46.90)

Most-billed visit code 99205

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Bonny Sham's NPI number?

The NPI number for Bonny Sham is 1891153243. It was assigned to this individual provider in the NPPES registry on January 31, 2016.

Where is Bonny Sham located?

Bonny Sham practices at 1328 Westwood Blvd Ste 23, Los Angeles, CA 90024. The listed phone number is (310) 203-1568.

What is Bonny Sham's specialty?

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

Is Bonny Sham enrolled in Medicare?

Yes. Bonny Sham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Bonny Sham was last updated on March 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.