SHAYNE ALLEN BEAMER
NPI 1902316011
Counselor - Mental Health in Costa Mesa, CA
Active since October 03, 2017
About Shayne Allen Beamer NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAYNE ALLEN BEAMER (NPI 1902316011) is an individual mental health provider in Costa Mesa, California and active in the NPI registry since October 2017.
NPPES Registry Identity
NPI1902316011
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameSHAYNE ALLEN BEAMER
Location Address275 BAKER STCosta Mesa, CA 92626-4566
Mailing Address275 Baker StCosta Mesa, CA 92626-4566 · (714) 293-6599 · Fax (714) 361-6779
Phone(714) 361-6760
Fax(714) 361-6779
Sole ProprietorNo
Enumeration DateOctober 3, 2017
Last NPPES UpdateDecember 15, 20212 updates tracked since enumeration
NPPES CertifiedDecember 15, 2021
✔ NPI 1902316011 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
275 BAKER ST, Costa Mesa, CA 92626
Other Providers at the Same Location
The following 9 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902316011, enumerated as an "individual" on October 03, 2017.
The provider is located at 275 BAKER ST COSTA MESA, CA 92626 and the phone number is (714) 361-6760.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
