Individual provider Active NPI

Sadaf Shalchian Pourkhaljan, LMFT

  • Marriage & Family Therapist
  • Aliso Viejo, CA
National Provider Identifier
1144954181
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
133683 Issued in CA
Practice address
28520 Wood Canyon Dr Apt 14
Aliso Viejo, CA 92656-4206
Phone
(949) 257-2229
NPI assigned
Jul 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 133683 CA Primary

Addresses

Primary practice location

28520 Wood Canyon Dr Apt 14
Aliso Viejo, CA 92656-4206

Mailing address

26895 Aliso Creek Rd # B-193
Aliso Viejo, CA 92656-5301
Phone (949) 257-2229

Other practice location 1

101 S Kraemer Blvd Ste 110
Placentia, CA 92870-6109
Phone (562) 412-1340

Other names 1

  • Sadaf Shalchian Other name

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
133683CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Akoya Wellness and Family Counseling, Inc. Marriage & Family Therapist CurrentSince Jan 7, 2024 Accepting new patients
S.a.G.E. Holistic Health & Wellness Center Marriage & Family Therapist PastSince Jul 1, 2022 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1144954181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26895 ALISO CREEK RD # B-193",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565301",
            "telephone_number": "949-257-2229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28520 WOOD CANYON DR APT 14",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926564206",
            "telephone_number": "949-257-2229"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 S Kraemer Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Placentia",
            "state": "CA",
            "postal_code": "928706109",
            "country_code": "US",
            "telephone_number": "562-412-1340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHALCHIAN POURKHALJAN",
        "first_name": "SADAF",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "133683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SADAF",
            "last_name": "SHALCHIAN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Aliso Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 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.