Healthcare Provider Details

I. General information

NPI: 1891151213
Provider Name (Legal Business Name): SHYMA EL SAYED PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/14/2016
Last Update Date: 11/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1029 H ST 403
SACRAMENTO CA
95814-2847
US

IV. Provider business mailing address

1029 H ST 403
SACRAMENTO CA
95814-2847
US

V. Phone/Fax

Practice location:
  • Phone: 916-905-2107
  • Fax:
Mailing address:
  • Phone: 916-905-2107
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License NumberPSY 27890
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY 27890
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License NumberPSY 27890
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License NumberPSY 27890
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License NumberPSY 27890
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: