DR. SHIR SHANUN PSY.D.
NPI 1962798389
Psychologist - Clinical in Arcadia, CA

Active since June 23, 2011Opted out of Medicare · through Jan 1, 2028
174 W LAS FLORES AVE, ARCADIA, CA 91007(626) 510-2652 Get Directions Write a Review

NPPES record last updated: February 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Shir Shanun Psy.d. NPPES

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

DR. SHIR SHANUN PSY.D. (NPI 1962798389) is an individual clinical provider in Arcadia, California, licensed in California (PSY-25481) and active in the NPI registry since June 2011. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1962798389
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. SHIR SHANUNCredential: PSY.D.
Location Address174 W LAS FLORES AVEArcadia, CA 91007-8223
Mailing Address174 W Las Flores AveArcadia, CA 91007-8223 · (626) 510-2652
Sole ProprietorYes
Enumeration DateJune 23, 2011
Last NPPES UpdateFebruary 10, 2023
NPPES CertifiedFebruary 10, 2023
NPI 1962798389 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 · PSY-25481
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 ListedRehabilitation PractitionerTaxonomy 225400000X
Also ListedRehabilitation CounselorTaxonomy 225C00000X · License WAIVERED PSYCHOLOGIS (CA)
174 W LAS FLORES AVE, Arcadia, CA 91007

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Shir Shanun Psy.d. 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 January 1, 2022 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2022
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Shir Shanun's NPI number?

The NPI number for Shir Shanun is 1962798389. It was assigned to this individual provider in the NPPES registry on June 23, 2011.

Where is Shir Shanun located?

Shir Shanun practices at 174 W Las Flores Ave, Arcadia, CA 91007. The listed phone number is (626) 510-2652.

What is Shir Shanun's specialty?

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

Is Shir Shanun enrolled in Medicare?

No. Shir Shanun has opted out of Medicare through January 1, 2028. 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 Shir Shanun was last updated on February 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.