Roudabeh Rahbar, PSYD.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY 23048 Issued in CA

Practice address

570 Escenico
Lake Forest, CA 92630-8914

Phone

(949) 338-1860

NPI assigned

Jan 22, 2007

Last updated

Sep 1, 2023By 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

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, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

• Rahbar Psychology Services Inc

  • Clinical Psychologist
  • Lake Forest, CA
  • NPI 1962375352
  Medicare reassignment NPD Authorized official
• Rahbar Psychology Services Inc

  • Psychologist
  • San Diego, CA
  • NPI 1457223828
  NPD

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1174677629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30511 AVENIDA DE LAS FLORES STE 1061",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926883941",
            "telephone_number": "949-338-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 ESCENICO",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308914",
            "telephone_number": "949-338-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHBAR",
        "first_name": "ROUDABEH",
        "name_prefix": "Dr.",
        "credential": "PSYD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 23048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn Quinn, FNP-BC
• Fernando Rodriguez Quiroz Jr.
• Emaan Qureshi, DMD
• Lisa Hull Rae, M.A. CCC-SLP
• Rahbar Psychology Services Inc
• Kourosh Rahimpour, DDS
• Rahma Medical PC
• Saanvi Rajeev
• Ralphs Grocery Company (Ralphs Pharmacy)
• Ramin Khoshsar DDS, DMD, Inc. (Baker Ranch Dental Spa & Implant Center)

• Clinical Psychologist in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.