MEDICARE: DR. MARTA M SHINN PHD.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM1300X	Multi-Specialty Clinic/Center	PSY23107	CA
2	103TC2200X	Clinical Child & Adolescent Psychologist	PSY23107	CA

General Provider Information

NPI Number	:	1497939896
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARTA M SHINN PHD.

Provider Business Mailing Address
First Line	:	1048 IRVINE AVE # 717
Second Line	:
City	:	NEWPORT BEACH
State	:	CA
Zip	:	92660-4602
Country	:	US
Telephone Number	:	949-873-4617
Fax Number	:	949-209-4544

Provider Business Practice Location Address
First Line	:	3525 HYLAND AVE STE 205
Second Line	:
City	:	COSTA MESA
State	:	CA
Zip	:	92626-1403
Country	:	US
Telephone Number	:	949-873-4617
Fax Number	:	949-209-4544

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/20/2007
Last Update Date	:	06/02/2026

Similar Medicare Providers

1447182472 — VARIATIONS PSYCHOLOGY PC
Practice Location Address:

3525 HYLAND AVE STE 205
COSTA MESA, CA
92626-1403

Practice Phone: 949-873-4617
Practice Fax: 949-209-4544

1366262784 — DR. THOMAS MAMMANO NMD
Practice Location Address:

124 S 54TH ST
MESA, AZ
85206-1403

Practice Phone: 484-626-0088
Practice Fax:

1457284309 — LEAH PREET RANDHAWA
Practice Location Address:

3186 AIRWAY AVE STE A
COSTA MESA, CA
92626-4650

Practice Phone: 714-881-0427
Practice Fax:

1952635914 — MRS. LISA MICHELLE OSBORN OTR/L
Practice Location Address:

200 KALMUS DR
COSTA MESA, CA
92626-5922

Practice Phone: 714-966-4000
Practice Fax:

1841124542 — MORGAN NGUYEN
Practice Location Address:

3186 AIRWAY AVE STE A
COSTA MESA, CA
92626-4650

Practice Phone: 714-881-0427
Practice Fax:

1972437507 — MICA MAI
Practice Location Address:

3186 AIRWAY AVE STE A
COSTA MESA, CA
92626-4650

Practice Phone: 714-881-0427
Practice Fax:

Directions to “ DR. MARTA M SHINN PHD.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.