Active NPI
Bahareh Shayegan, MS
- Marriage & Family Therapist
- Los Angeles, CA
National Provider Identifier
1174987077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 110511
- Practice address
- 2301 Hyperion Ave
Los Angeles, CA 90027-4711 - Phone
- (310) 564-6135
- NPI assigned
- Apr 7, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 110511 | CA | Primary |
Addresses
Primary practice location
2301 Hyperion Ave
Los Angeles, CA 90027-4711
Mailing address
PO Box 252342
Los Angeles, CA 90025-8980
Phone (310) 564-6135
Other practice location 1
1000 G St Ste 125
Sacramento, CA 95814-0894
Phone (888) 588-8995
Other practice location 2
11845 W Olympic Blvd Ste 1050W
Los Angeles, CA 90064-5046
Phone (888) 588-8995
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110511 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foresight Mental Health | Marriage & Family Therapist | Past | Accepting new patients |
Interoperability endpoints
- lifestancehealth.baharehsheyegan@148377.advancedmd-direct.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699315200000",
"number": "1174987077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 252342",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900258980",
"telephone_number": "310-564-6135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 HYPERION AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900274711",
"telephone_number": "310-564-6135"
}
],
"practiceLocations": [
{
"address_1": "1000 G St Ste 125",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958140894",
"country_code": "US",
"telephone_number": "888-588-8995",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11845 W Olympic Blvd Ste 1050W",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900645046",
"country_code": "US",
"telephone_number": "888-588-8995",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHAYEGAN",
"first_name": "BAHAREH",
"name_prefix": "Ms.",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-07",
"last_updated": "2023-11-07",
"certification_date": "2023-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "110511",
"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 Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.