Farah Pezeshki, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

14875 Issued in CA

Practice address

529 S Maple Ave
Los Angeles, CA 90013-6003

Phone

(213) 430-6700

Fax

(310) 482-6662

NPI assigned

Oct 23, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375660800000",
    "number": "1124101100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9947 1/2 DURANT DRIVE",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902125704",
            "telephone_number": "310-997-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 S MAPLE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900136003",
            "telephone_number": "213-430-6700",
            "fax_number": "310-482-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEZESHKI",
        "first_name": "FARAH",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2013-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "14875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mojgan Pezeshk, CHIROPRACTOR
• Navabeh Pezeshkan, MHT
• Babak Pezeshki, MD, MPH
• Behnoosh Pezeshki
• Benjamin Bijan Pezeshki, M.D.
• Patrick Pezeshkian, M.D.
• Stephanie Lucine Pezeshkian, D.O.
• Ashley Pezeshkifar, LMFT
• Michael Pezzullo, LMFT
• Maria Pezzulo, MA, ABAC

• Clinical Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2013; 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.