Active NPI
Haydeh Fakhrabadi, DOCTOR OF PSYCHOLOGY
- Counselor
- Los Angeles, CA
National Provider Identifier
1023217767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 550 S Vermont Ave
6TH Floor
Los Angeles, CA 90020-1912 - Phone
- (213) 738-2739
- NPI assigned
- Jul 12, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Clinical Psychologist | 103TC0700X | PSY22502 | CA |
Addresses
Primary practice location
550 S Vermont Ave
6TH Floor
Los Angeles, CA 90020-1912
Mailing address
550 S Vermont Ave
6TH Floor
Los Angeles, CA 90020-1912
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316736000000",
"number": "1023217767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 S VERMONT AVE",
"address_2": "6TH FLOOR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900201912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 S VERMONT AVE",
"address_2": "6TH FLOOR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900201912",
"telephone_number": "213-738-2739"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAKHRABADI",
"first_name": "HAYDEH",
"name_prefix": "Dr.",
"credential": "DOCTOR OF PSYCHOLOGY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-12",
"last_updated": "2011-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY22502",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.