Provider Demographics
NPI:1528072881
Name:CARRIGAN, SHAHIN PARVINI (PHD, LMFT)
Entity type:Individual
Prefix:DR
First Name:SHAHIN
Middle Name:PARVINI
Last Name:CARRIGAN
Suffix:
Gender:F
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5405 ALTON PKWAY
Mailing Address - Street 2:STE 5A #453
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92604
Mailing Address - Country:US
Mailing Address - Phone:949-293-6041
Mailing Address - Fax:949-502-7930
Practice Address - Street 1:19732 MACARTHUR BLVD STE 140
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92612-2450
Practice Address - Country:US
Practice Address - Phone:949-293-6041
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-29
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39267106H00000X
106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist