Homayoun Shahri, PH.D.,M.A.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT86676 Issued in CA

Practice address

23331 El Toro Rd Ste 208
Lake Forest, CA 92630-4883

Phone

(949) 391-7790

Fax

(949) 209-1498

NPI assigned

Jan 24, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Ravonkavi Services

  dba Ravonkavi

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lake Forest, CA
  • NPI 1306444971
  NPD Authorized official

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634601600000",
    "number": "1285972257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4199 CAMPUS DR",
            "address_2": "SUITE 550",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926124684",
            "telephone_number": "949-391-7790",
            "fax_number": "949-209-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23331 EL TORO RD STE 208",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926304883",
            "telephone_number": "949-391-7790",
            "fax_number": "949-209-1498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHRI",
        "first_name": "HOMAYOUN",
        "name_prefix": "Dr.",
        "credential": "PH.D.,M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-24",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT86676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.ravonkavi.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "23331 El Toro Rd Ste 208",
            "city": "Lake Forest",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926304883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Shane S Doney Chiropractic Corporation
• Shihying Sherry Shaw, PSY.D.
• Tricia Shelton, P.T.A
• Shervin Ahmadnia DDS Inc (forest family dentistry)
• Andrew Beihong Shi, DDS

• Marriage & Family Therapist in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.