Pardis Amirhoushmand, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY22915 Issued in CA

Practice address

317 W F St
Ontario, CA 91762-3205

Phone

(909) 391-3051

Fax

(909) 391-3068

NPI assigned

Mar 6, 2007

Last updated

Jul 25, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pardisphd@ontariochc.officeally.direct

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

• Autism Center

  • Clinical Psychologist
  • Ontario, CA
  • NPI 1336926732
  NPD Authorized official
• Pardis Amirhoushmand, PH.D., a Psychology Corporation

  • Clinical Psychologist
  • Ontario, CA
  • NPI 1700239357
  Authorized official Same address or phone
• Vericare of California Medical Group

  • Clinical Psychologist
  • Paradise, CA
  • NPI 1316992829
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1003946179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 W F ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623205",
            "telephone_number": "714-325-5621",
            "fax_number": "909-391-3068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 W F ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623205",
            "telephone_number": "909-391-3051",
            "fax_number": "909-391-3068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMIRHOUSHMAND",
        "first_name": "PARDIS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY22915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriela Amezcua
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• Yolanda Amezcua
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• Arsineh Amirkhanian, OD
• Tamiko Amos, LVN
• Suzanne Amricachi
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• Hye Hyun An, PHARMD

• Psychologist in Ontario, CA
• Providers in Ontario, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.