Organization Active NPI

Kaneeza Lafir Psychological Services Inc

  • Clinical Psychologist
  • Norwalk, CA
National Provider Identifier
1144577479
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY19238 Issued in CA
Legal business name
KANEEZA LAFIR PSYCHOLOGICAL SERVICES INC
Practice address
12006 Rosecrans Ave
Norwalk, CA 90650-4119
Phone
(562) 773-3044
Fax
(562) 929-0516
NPI assigned
Aug 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Authorized official

Name
Shamina Mustafa
Title
Manager
Phone
(951) 522-1042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X PSY19238 CA Primary

Addresses

Primary practice location

12006 Rosecrans Ave
Norwalk, CA 90650-4119

Mailing address

12006 Rosecrans Ave
Norwalk, CA 90650-4119
Phone (562) 773-3044

Other identifiers 2

IdentifierTypeStateIssuer
CP192380OtherLICENSE NUMBER
CP19238MedicaidCA

Other names 1

  • KANEEZA LAFIR PSYD Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1344211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1144577479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12006 ROSECRANS AVE",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504119",
            "telephone_number": "562-773-3044",
            "fax_number": "562-929-0516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12006 ROSECRANS AVE",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504119",
            "telephone_number": "562-773-3044",
            "fax_number": "562-929-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANEEZA LAFIR PSYCHOLOGICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-06",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "MUSTAFA",
        "authorized_official_first_name": "SHAMINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "951-522-1042"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY19238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "CP192380",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CP19238",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KANEEZA LAFIR PSYD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Norwalk, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.