Individual provider Active NPI

Flora Zomorodi, PSY.D.

  • Health Service Psychologist
  • Beverly Hills, CA
National Provider Identifier
1013065630
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
License
22011 Issued in CA
Practice address
9777 Wilshire Blvd Ste 400
Beverly Hills, CA 90212-1910
Phone
(310) 659-6445
Fax
(310) 861-5060
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT22011 CA
Health Service Psychologist 103TH0100X 22011 CA Primary

Addresses

Primary practice location

9777 Wilshire Blvd Ste 400
Beverly Hills, CA 90212-1910

Mailing address

9777 Wilshire Blvd Ste 400
Beverly Hills, CA 90212-1910
Phone (310) 659-6445

Other identifiers 1

IdentifierTypeStateIssuer
143373OtherCADMH

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250505001684 CA Practitioner - Marriage and Family Therapist 1850837477 Practice locations: Beverly Hills, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9777 Wilshire Blvd
Suite 400
Beverly Hills, CA 90212-1910
Phone 310435194100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22011CAMDClinical Social Worker
MFT22011CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1013065630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9777 WILSHIRE BLVD STE 400",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121910",
            "telephone_number": "310-659-6445",
            "fax_number": "310-861-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9777 WILSHIRE BLVD STE 400",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121910",
            "telephone_number": "310-659-6445",
            "fax_number": "310-861-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOMORODI",
        "first_name": "FLORA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT22011",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "CA",
            "license": "22011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMH",
            "identifier": "143373",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.