Active NPI
Maryam Vadjed Samiei, PSY.D.
- Psychologist
- Los Angeles, CA
National Provider Identifier
1255768289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY29592
- Practice address
- 1557 Westwood Blvd # 145
Los Angeles, CA 90024-5601 - Phone
- (818) 934-1322
- NPI assigned
- Oct 4, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY29592 | CA | Primary |
Addresses
Primary practice location
1557 Westwood Blvd # 145
Los Angeles, CA 90024-5601
Mailing address
1557 Westwood Blvd # 145
Los Angeles, CA 90024-5601
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY29592 | CA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Change Within Reach Inc | Past | Accepting new patients |
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.
-
- Adult Mental Health Clinic/Center
- Encino, CA
- NPI 1003207002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509321600000",
"number": "1255768289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1557 WESTWOOD BLVD # 145",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900245601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1557 WESTWOOD BLVD # 145",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900245601",
"telephone_number": "818-934-1322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VADJED SAMIEI",
"first_name": "MARYAM",
"name_prefix": "Ms.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-04",
"last_updated": "2017-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY29592",
"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 Oct 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.