Individual provider Active NPI

Orkideh Csukay, PSY. D.

  • Psychologist
  • Reseda, CA
National Provider Identifier
1033423306
Registry record updated Nov 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY23559 Issued in CA
Practice address
18305 Sherman Way
31
Reseda, CA 91335-4425
Phone
(818) 294-9794
Fax
(818) 462-8171
NPI assigned
Jul 29, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY23559 CA Primary

Addresses

Primary practice location

18305 Sherman Way
31
Reseda, CA 91335-4425

Mailing address

18305 Sherman Way
31
Reseda, CA 91335-4425
Phone (818) 254-9794

Other identifiers 1

IdentifierTypeStateIssuer
EZ982AOtherCAMEDICARE PTAN

Other names 1

  • A Psychological Corporation Professional name

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
I20110613000828 CA Practitioner - Clinical Psychologist 7517144835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

18305 Sherman Way
Suite 31
Reseda, CA 91335-4425
Phone (818) 254-9794

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY23559CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Orkideh Csukay Inc, a Psychological Corporation CurrentSince May 24, 2013 Accepting new patients
Sanjiv Verma MD Inc Past Accepting new patients

Locations

18305 Sherman Way
#31
Reseda, CA 91335
Phone (818) 254-9794

18305 Sherman Way
Ste 31
Reseda, CA 91335
Phone (747) 444-7731

Organizations & group practices 2

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": "1280361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416096000000",
    "number": "1033423306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18305 SHERMAN WAY",
            "address_2": "31",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354425",
            "telephone_number": "818-254-9794",
            "fax_number": "818-462-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18305 SHERMAN WAY",
            "address_2": "31",
            "city": "RESEDA",
            "state": "CA",
            "postal_code": "913354425",
            "telephone_number": "818-294-9794",
            "fax_number": "818-462-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CSUKAY",
        "first_name": "ORKIDEH",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-29",
        "last_updated": "2014-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY23559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "EZ982A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "A PSYCHOLOGICAL",
            "last_name": "CORPORATION",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Reseda, CA

Sources for this page

Verify at the official NPI Registry.