Individual provider Active NPI

Payam Kharazi, PSY.D.

  • Clinical Psychologist
  • Beverly Hills, CA
National Provider Identifier
1235688532
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY29464 Issued in CA
Practice address
9777 Wilshire Blvd Ste 907
Beverly Hills, CA 90212-1902
Phone
(310) 461-8809
NPI assigned
Sep 27, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY29464 CA Primary

Addresses

Primary practice location

9777 Wilshire Blvd Ste 907
Beverly Hills, CA 90212-1902

Mailing address

9777 Wilshire Blvd Ste 907
Beverly Hills, CA 90212-1902
Phone (310) 461-8809

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190606002054 CA Practitioner - Clinical Psychologist 7517290547 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY29464CAMDClinical Psychologist
29464CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychology Behavioral Health, PC Clinical CurrentSince Jun 9, 2026 Accepting new patients
Skilled Facility Health Care Solutions Inc CurrentSince Jul 28, 2025 Accepting new patients

Locations

9777 Wilshire Blvd
Ste 907
Beverly Hills, CA 90212
Phone (310) 246-0066

3746 Foothill Blvd
La Crescenta, CA 91214
Phone (323) 574-0387

1515 N Alexandria Ave
Los Angeles, CA 90027
Phone (214) 986-3010

1340 15th St
Santa Monica, CA 90404
Phone (310) 451-9700

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/swc_skilledfacilityhealthcaresolutions

Organizations & group practices 3

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": "1474934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1235688532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9777 WILSHIRE BLVD STE 907",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121902",
            "telephone_number": "310-461-8809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9777 WILSHIRE BLVD STE 907",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902121902",
            "telephone_number": "310-461-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHARAZI",
        "first_name": "PAYAM",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-27",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY29464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.