Individual provider Active NPI

Sara Michele Mehrabani, PSY.D.

  • Clinical Psychologist
  • Culver City, CA
National Provider Identifier
1013209667
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
26688 Issued in CA
Practice address
9696 Culver Blvd Ste 303
Culver City, CA 90232-2759
Phone
(323) 909-9263
NPI assigned
May 13, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 26688 CA Primary

Addresses

Primary practice location

9696 Culver Blvd Ste 303
Culver City, CA 90232-2759

Mailing address

9696 Culver Blvd Ste 303
Culver City, CA 90232-2759
Phone (323) 909-9263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
26688CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sea Change Mental Health and Psychotherapy Inc. Clinical CurrentSince Jan 21, 2024 Accepting new patients

Locations

9696 Culver Blvd
Ste 303
Culver City, CA 90232
Phone (323) 362-6468

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1013209667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9696 CULVER BLVD STE 303",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322759",
            "telephone_number": "323-909-9263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9696 CULVER BLVD STE 303",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902322759",
            "telephone_number": "323-909-9263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEHRABANI",
        "first_name": "SARA",
        "middle_name": "MICHELE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-13",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "26688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.