Sean Pakdaman PHD a Professional Psychology Inc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY17001 Issued in CA

Legal business name

SEAN PAKDAMAN PHD A PROFESSIONAL PSYCHOLOGY INC

Practice address

5535 Balboa Blvd
Suite # 200
Encino, CA 91316-1516

Phone

(818) 817-8737

Fax

(818) 817-8738

NPI assigned

Jun 29, 2007

Organization subpart

No

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

Authorized official

Name

Sean Pakdaman, PHD,PSYD

Title

Owner

Phone

(818) 817-8737

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacy Brooke Stern, PT, DPT

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1073274429
  NPD (past)

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513123200000",
    "number": "1114124286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5535 BALBOA BLVD",
            "address_2": "SUITE # 200",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161516",
            "telephone_number": "818-817-8737",
            "fax_number": "818-817-8738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5535 BALBOA BLVD",
            "address_2": "SUITE # 200",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913161516",
            "telephone_number": "818-817-8737",
            "fax_number": "818-817-8738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAN PAKDAMAN PHD A PROFESSIONAL PSYCHOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2017-12-13",
        "status": "A",
        "authorized_official_last_name": "PAKDAMAN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-817-8737",
        "authorized_official_credential": "PHD,PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY17001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger Schwarz, MFT
• Jaimie Schweitzer, PH.D.
• Scott Cherkasky MD a Ca Professional Med Corp
• Jasmin Cortney Scott-Hawkins, MD, MPH
• Julie Scurry, LCSW
• Douglas Sears, M.D.
• Kristin Sederholt
• Mina Samir Sedrak, MD, MS
• Cassandra Seemann, MS CCC-SLP
• Alexandra Noel Segal

• Clinical Psychologist in Encino, CA
• Providers in Encino, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; 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.