Vinus Mahmoodi, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

022918 Issued in NY

Practice address

710 W 168TH St
New York, NY 10032-3726

Phone

(510) 557-5301

NPI assigned

May 19, 2012

Reactivated

Oct 10, 2018

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

Other names 1

• Dr. Venus Mahmoodi Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1337385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1083974430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 5TH AVE APT 11C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100293130",
            "telephone_number": "510-557-5301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 W 168TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323726",
            "telephone_number": "510-557-5301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 W 43rd St Ste 510",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100367408",
            "country_code": "US",
            "telephone_number": "585-687-8678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHMOODI",
        "first_name": "VINUS",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "deactivation_date": "2018-10-01",
        "reactivation_date": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "022918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VENUS",
            "last_name": "MAHMOODI",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sehar Mahmood
• Syed S Mahmood, MD MPH
• Umbareen Mahmood, MD
• Jeyan Mahmoodi, DDS
• Sodaba Mahmoodi
• Zayan Mahmooth, MD
• Ammar Mahmoud, M.D.
• Sherif Safwat Amin Aly Mahmoud, PT, DPT
• Armin Mahmoudi, DDS
• Atrean Mahmoudi

• Clinical Psychologist in New York, NY
• Providers in New York, NY by specialty
• Clinical Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.