Individual provider Active NPI

Ariela Hana Rabizadeh, PSYD

  • Clinical Psychologist
  • Los Angeles, CA
National Provider Identifier
1124518766
Registry record updated Jan 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
34156 Issued in CA
Practice address
3787 S Vermont Ave
Los Angeles, CA 90007-4203
Phone
(323) 766-2345
NPI assigned
May 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Psychologist 103T00000X
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Psychologist 103TC0700X 34156 CA Primary

Addresses

Primary practice location

3787 S Vermont Ave
Los Angeles, CA 90007-4203

Mailing address

12304 Santa Monica Blvd Ste 314
Los Angeles, CA 90025-2551
Phone (310) 625-4059

Other practice location 1

1722 S Lewis Rd
Camarillo, CA 93012-8520
Phone (805) 769-7955

Other practice location 2

12304 Santa Monica Blvd
Los Angeles, CA 90025-2551
Phone (310) 625-4059

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
34156CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704585600000",
    "number": "1124518766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12304 SANTA MONICA BLVD STE 314",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900252551",
            "telephone_number": "310-625-4059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3787 S VERMONT AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900074203",
            "telephone_number": "323-766-2345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1722 S Lewis Rd",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930128520",
            "country_code": "US",
            "telephone_number": "805-769-7955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12304 Santa Monica Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900252551",
            "country_code": "US",
            "telephone_number": "310-625-4059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RABIZADEH",
        "first_name": "ARIELA",
        "middle_name": "HANA",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-18",
        "last_updated": "2024-01-07",
        "certification_date": "2024-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "34156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2024; 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.