Individual provider Active NPI

Sandy P. Sayah-Pedram

  • Marriage & Family Therapist
  • Van Nuys, CA
National Provider Identifier
1205286127
Registry record updated Oct 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF94147 Issued in CA
Practice address
14550 Sherman Way
Van Nuys, CA 91405-2210
Phone
(818) 901-4879
Fax
(818) 997-3968
NPI assigned
Jun 22, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2017

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 IMF94147 CA Primary

Addresses

Primary practice location

14550 Sherman Way
Van Nuys, CA 91405-2210

Mailing address

14550 Sherman Way
Van Nuys, CA 91405-2210
Phone (818) 901-4879

Other names 1

  • Sandy P. Pedram Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
IMF94147CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
San Fernando Valley Community Mental Health Center, Inc Past Accepting new patients
San Fernando Valley Community Mental Health Center, Inc. PastSince Sep 24, 2023 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507161600000",
    "number": "1205286127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14550 SHERMAN WAY",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052210",
            "telephone_number": "818-901-4879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14550 SHERMAN WAY",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052210",
            "telephone_number": "818-901-4879",
            "fax_number": "818-997-3968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAYAH-PEDRAM",
        "first_name": "SANDY",
        "middle_name": "P.",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-22",
        "last_updated": "2017-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF94147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDY",
            "last_name": "PEDRAM",
            "middle_name": "P.",
            "credential": "J.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.