Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alexandra Lillian Kussin-Shoptaw, PHD

Individual provider Health Service Psychologist · NPI 1588952055

Alexandra Lillian Kussin-Shoptaw, PHD is a Health Service Psychologist in Sherman Oaks, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
Specialties on file
6
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

13400 Riverside Dr Ste 318
Sherman Oaks, CA 91423-2501
Phone: (323) 418-2103
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY30547 (CA)
Health Service Psychologist Taxonomy 103TH0100X · Licence PSY30547 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence PSY30547 (CA)
Mental Health Counselor Taxonomy 101YM0800X
Family Psychologist Taxonomy 103TF0000X · Licence PSY30547 (CA)

Record details

NPI number1588952055
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJuly 18, 2011
Last updated in NPPESJuly 1, 2021
Certification dateJuly 1, 2021