NPIMap

Organization Active NPI

Leili Zarbakhsh Integrated Individual and Family Therapy Prof. Corp.

  • Psychologist
  • Riverside, CA
National Provider Identifier
1235615543
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
LEILI ZARBAKHSH INTEGRATED INDIVIDUAL AND FAMILY THERAPY PROF. CORP.
Practice address
5005 Canyon Crest Dr
Riverside, CA 92507-7721
Phone
(747) 447-2090
Fax
(747) 444-4969
NPI assigned
Jul 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Authorized official

Name
Leili Zarbakhsh, LMFT, LEPNPI 1548529498
Title
Incorporator
Phone
(747) 447-2090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X

Addresses

Primary practice location

5005 Canyon Crest Dr
Riverside, CA 92507-7721

Mailing address

4642 Noeline Ave
Encino, CA 91436-2104
Phone (310) 383-5259

Other names 1

  • WILLOWBROOKS BEHAVIORAL HEALTH Doing business as

National Provider Directory

National Provider Directory

Locations

624 Commerce Ave
Ste D
Palmdale, CA 93551

5005 Canyon Crest Dr
Riverside, CA 92507
Phone (747) 224-2090

4141 State St
Ste E12
Santa Barbara, CA 93110
Phone (805) 603-4968

1016 E Main St
Santa Maria, CA 93454
Phone (805) 456-2380

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1235615543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4642 NOELINE AVE",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362104",
            "telephone_number": "310-383-5259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 CANYON CREST DR",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925077721",
            "telephone_number": "747-447-2090",
            "fax_number": "747-444-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEILI ZARBAKHSH INTEGRATED INDIVIDUAL AND FAMILY THERAPY PROF. CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "ZARBAKHSH",
        "authorized_official_first_name": "LEILI",
        "authorized_official_title_or_position": "INCORPORATOR",
        "authorized_official_telephone_number": "747-447-2090",
        "authorized_official_credential": "LMFT, LEP"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WILLOWBROOKS BEHAVIORAL HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.