Farzaneh Ehsan, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

28121 Issued in CA

Practice address

15315 Magnolia Blvd Ste 400
Sherman Oaks, CA 91403-1175

Phone

(310) 877-0600

NPI assigned

Mar 19, 2014

Last updated

May 3, 2021By the provider in NPPES

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

Other identifiers 2

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, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Mental Health Center, Inc.

  • Clinical Psychologist
  • Encino, CA
  • NPI 1881140929
  Medicare reassignment NPD Authorized official
• Cross Cultural Expressions

  • Community/Behavioral Health Agency
  • Encino, CA
  • NPI 1497203939
  NPD (past)

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620000000000",
    "number": "1144647819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 ROSCOMARE RD UNIT 8",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771846",
            "telephone_number": "310-877-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15315 MAGNOLIA BLVD STE 400",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031175",
            "telephone_number": "310-877-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHSAN",
        "first_name": "FARZANEH",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-19",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "28121",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9971542",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA BOARD OF PSYCHOLOGY -  LICENCED CLINICAL PSYCHOLOGIST",
            "identifier": "28121",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tala Eftekhari, DDS
• Navid Eghbal, LMFT
• Babak Eghbalieh, MD FACS
• Sammy Daniel, David Eghbalieh, M.D.
• Egida Home Health Care, Inc.
• Avigail Eitan
• Anahid Ekmekdjian, DC
• Elena Pushin LCSW
• Carla Elia, PH.D.
• Husam Elias, MD

• Clinical Psychologist in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.