| Shayna Alyse Carroll, | |
|
11643 Glenoaks Blvd, Pacoima, CA 91331-1050 | |
| (818) 897-2609 | |
| (818) 890-7159 |
| Full Name | Shayna Alyse Carroll |
|---|---|
| Gender | Female |
| Speciality | Marriage And Family Therapist |
| Experience | 7 Years |
| Location | 11643 Glenoaks Blvd, Pacoima, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649829474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 115324 (California) | Primary |
| 171M00000X | Case Manager/care Coordinator | (NU) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern California Permanente Medical Group | 6002729175 | 11250 |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
| Entity Name | Grow Healthcare Group PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
| Mailing Address | Practice Location Address |
|---|---|
| Shayna Alyse Carroll, 4760 Sepulveda Blvd, Culver City, CA 90230-4820 Ph: (213) 381-3626 | Shayna Alyse Carroll, 11643 Glenoaks Blvd, Pacoima, CA 91331-1050 Ph: (818) 897-2609 |
Mrs. Angelica Marie Churchian, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11643 Glenoaks Blvd, Pacoima, CA 91331 Phone: 310-751-5408 |
Mr. Vernon Wolf Windell, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12450 Van Nuys Blvd, Suite 200, Pacoima, CA 91331 Phone: 818-896-1161 Fax: 818-896-5069 |
Sofia Cardenas, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11960 Bromont Ave, Pacoima, CA 91331 Phone: 818-901-4830 Fax: 818-901-8985 |
Maribel Palafox, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11068 Chivers Ave, Pacoima, CA 91331 Phone: 818-397-0058 |
Ayana Rose, MFT INTERN Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12510 Van Nuys Blvd, Pacoima, CA 91331 Phone: 626-896-2255 Fax: 818-899-7293 |
Erika Schreefel, LMFT123711 ATR17-432 Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12450 Van Nuys Blvd Ste 100, Pacoima, CA 91331 Phone: 818-896-8366 |
Miss Patricia Paz Moya, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12450 Van Nuys Blvd Ste 100, Pacoima, CA 91331 Phone: 818-896-8366 Fax: 818-896-8392 |