Active NPI
Rozalin Banafsheian, PH.D.
- Psychologist
- Los Angeles, CA
National Provider Identifier
1275907719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 27414
- Practice address
- 522 N. Larchmont
Los Angeles, CA 90004 - Phone
- (310) 270-1407
- NPI assigned
- Nov 20, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 27414 | CA | Primary |
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | 27414 | CA | |
| Clinical Psychologist | 103TC0700X | 27414 | CA | |
| Family Psychologist | 103TF0000X | 27414 | CA | |
| Group Psychotherapy Psychologist | 103TP2701X | 27414 | CA |
Addresses
Primary practice location
522 N. Larchmont
Los Angeles, CA 90004
Mailing address
P.O. Box 17017
Beverly Hills, CA 90209
Phone (310) 270-1407
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27414 | CA | MD | Group Psychotherapy Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447977600000",
"number": "1275907719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 17017",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "90209",
"telephone_number": "310-270-1407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 N. LARCHMONT",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90004",
"telephone_number": "310-270-1407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANAFSHEIAN",
"first_name": "ROZALIN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-20",
"last_updated": "2015-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "27414",
"primary": true
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "27414",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "27414",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "CA",
"license": "27414",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "CA",
"license": "27414",
"primary": false
}
],
"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 Nov 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.