Organization Active NPI

Seal Beach Counseling Inc

  • Clinical Psychologist
  • Seal Beach, CA
National Provider Identifier
1285496356
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
SEAL BEACH COUNSELING INC
Practice address
909 Electric Ave Ste 308
Seal Beach, CA 90740-8903
Phone
(714) 797-5445
Fax
(213) 355-6231
NPI assigned
Jan 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Authorized official

Name
Ali Reza Zandi, MANPI 1942408992
Title
Owner of Entity
Phone
(714) 797-5445

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

909 Electric Ave Ste 308
Seal Beach, CA 90740-8903

Mailing address

909 Electric Ave Ste 308
Seal Beach, CA 90740-8903
Phone (714) 797-5445

National Provider Directory

National Provider Directory

Locations

909 Electric Ave
Ste 308
Seal Beach, CA 90740
Phone (562) 221-0647

Practitioners & affiliated clinicians

Practitioners 2

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": "1706140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706140800000",
    "number": "1285496356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 ELECTRIC AVE STE 308",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907408903",
            "telephone_number": "714-797-5445",
            "fax_number": "213-355-6231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 ELECTRIC AVE STE 308",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907408903",
            "telephone_number": "714-797-5445",
            "fax_number": "213-355-6231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEAL BEACH COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-25",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A",
        "authorized_official_last_name": "ZANDI",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "REZA",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "714-797-5445",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seal Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.