Dr. Marta M Shinn, PhD.
Psychologist, Clinical Child & Adolescent in Costa Mesa, CA. Individual provider (NPI-1).
Details
- NPI
- 1497939896
- Entity type
- Individual (NPI-1)
- Name
- Dr. Marta M Shinn
- Credential
- PhD.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 20, 2007
- Certification date
- Jun 2, 2026
- Last updated
- Jun 2, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC2200X | Psychologist, Clinical Child & Adolescent | PSY23107 | CA | Yes |
| 261QM1300X | Clinic/Center, Multi-Specialty | PSY23107 | CA |
Practice location
3525 Hyland Ave Ste 205Costa Mesa, CA 92626-1403
Phone 949-873-4617 · Fax 949-209-4544
Mailing address
1048 Irvine Ave # 717Newport Beach, CA 92660-4602
Phone 949-873-4617 · Fax 949-209-4544
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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