Miriam Hamideh, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY17320 Issued in CA

Practice address

31194 La Baya Dr Ste 201
Westlake Village, CA 91362-6431

Phone

(747) 222-7464

Fax

(310) 919-3755

NPI assigned

Dec 26, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Miriam Hamideh, PH. D., Clinical Psychologist, Inc.

  • Adult Mental Health Clinic/Center
  • Westlake Village, CA
  • NPI 1508125998
  Medicare reassignment NPD Authorized official
• Ed S Jesalva MD Inc

  • Psychiatry Physician
  • Westlake Village, CA
  • NPI 1871852087
  NPD (past)

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1124183561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31194 LA BAYA DR STE 201",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913626431",
            "telephone_number": "805-797-7875",
            "fax_number": "310-919-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31194 LA BAYA DR STE 201",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913626431",
            "telephone_number": "747-222-7464",
            "fax_number": "310-919-3755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMIDEH",
        "first_name": "MIRIAM",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY17320",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY17320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Hall, PT
• Jason Hall
• Jefferson Cemore Hall IV
• Mark Hall
• Sharalee Hall
• Anna Hamrell, LCSW
• April Michelle Haney, LMFT
• William Mack Hang, DDS, MSD
• Laila Hanig, OT
• Genine Ivy Hanin, ED.D.

• Psychologist in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.