Lana Delshadi, ED.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PSY16895 Issued in CA

Practice address

10861 Cherry St Ste 211
Los Alamitos, CA 90720-5402

Phone

(714) 229-0094

Fax

(714) 229-0180

NPI assigned

May 26, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• LD Neuropsychological Services

  • Clinical Psychologist
  • Los Alamitos, CA
  • NPI 1417342965

  Clinical Neuropsychologist

  NPD Authorized official
• Crossroads Psychotherapy Group Inc.

  • Clinical Psychologist
  • Long Beach, CA
  • NPI 1467409516
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1003862137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10861 CHERRY ST STE 211",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907205402",
            "telephone_number": "714-229-0094",
            "fax_number": "714-229-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10861 CHERRY ST STE 211",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907205402",
            "telephone_number": "714-229-0094",
            "fax_number": "714-229-0180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4281 Katella Ave",
            "address_2": "Suite #122",
            "address_purpose": "LOCATION",
            "city": "Los Alamitos",
            "state": "CA",
            "postal_code": "907204416",
            "country_code": "US",
            "telephone_number": "714-229-9900 x23",
            "fax_number": "714-229-9959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELSHADI",
        "first_name": "LANA",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY16895",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY16895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborh Mather (Crossroads Psychotherapy Group)
• Roya Dedeaux, M.S., MFT INTERN
• Corey Deeble, DDS
• Ilaisa Mae Dela Rosa
• Geoffrey Paul Delaurier, M.D.
• Denise Joseph-Brown, MD, Inc
• Jackson L Denton
• Derick Pham DMD, Inc (OC Dental Spa)
• Watson A Desa, MD
• Ronak Desai

• Clinical Neuropsychologist in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.