Naz Gol Bagherzadeh, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY30568 Issued in CA

Practice address

4300 Long Beach Blvd Ste 340
Long Beach, CA 90807-2017

Phone

(562) 269-0000

Fax

(562) 269-0008

NPI assigned

Sep 19, 2014

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pacific Psych Solutions Inc

  • Clinical Psychologist
  • Long Beach, CA
  • NPI 1700325248
  NPD (past)

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1245632439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5648 SCOTWOOD DR",
            "city": "RANCHO PALOS VERDES",
            "state": "CA",
            "postal_code": "902754915",
            "telephone_number": "310-259-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 LONG BEACH BLVD STE 340",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072017",
            "telephone_number": "562-269-0000",
            "fax_number": "562-269-0008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2124 main street",
            "address_purpose": "LOCATION",
            "city": "huntington beach",
            "state": "CA",
            "postal_code": "92648",
            "country_code": "US",
            "telephone_number": "714-536-0077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAGHERZADEH",
        "first_name": "NAZ",
        "middle_name": "GOL",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-19",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY30568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Badii Lee Dental Corporation, Inc. (Smile Wide)
• Badii Lee Dental Corporation, Inc. (Smile Wide)
• Yon Bae
• Peter Baek
• Daisy Baez
• Robert Bagshaw, R.N.
• Sharie Bagwell
• Karen Ann Baham
• Mayra Alejandra Bahena Coronado
• Anjam Bahl, M.D.

• Clinical Psychologist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2019; 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.