Individual provider Active NPI

Ida Babakhanyan, PH.D

  • Psychologist
  • Vista, CA
National Provider Identifier
1295910289
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY27838 Issued in CA
Practice address
314 S Melrose Dr Ste 207
Vista, CA 92081-6630
Phone
(619) 535-9505
NPI assigned
Jan 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PSY27838 CA
Clinical Psychologist 103TC0700X PSY27838 CA
Psychologist 103T00000X PSY27838 CA Primary

Addresses

Primary practice location

314 S Melrose Dr Ste 207
Vista, CA 92081-6630

Mailing address

2214 Faraday Ave
Carlsbad, CA 92008-7208
Phone (619) 537-9119

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY27838CAMDPsychologist
27838CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Neurohealth Network Inc Clinical Neuropsychologist CurrentSince Nov 7, 2025 Accepting new patients
Brian Wu MD PHD Inc PastSince Oct 1, 2024 Accepting new patients

Locations

2214 Faraday Ave
Carlsbad, CA 92008

314 S Melrose Dr
Ste 207
Vista, CA 92081
Phone (619) 535-9505

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1199750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1295910289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 FARADAY AVE",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920087208",
            "telephone_number": "619-537-9119",
            "fax_number": "619-677-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 S MELROSE DR STE 207",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816630",
            "telephone_number": "619-535-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABAKHANYAN",
        "first_name": "IDA",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-08",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY27838",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY27838",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY27838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.