Ravonkavi Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

RAVONKAVI SERVICES

Doing business as

Ravonkavi
Ravonkavi Services

Practice address

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

Phone

(949) 391-7790

NPI assigned

Oct 15, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Homayoun Shahri, PHDNPI 1285972257

Title

Founder

Phone

(949) 391-7790

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Ravonkavi Doing business as
• Ravonkavi Services Doing business as

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Homayoun Shahri, PH.D.,M.A.

  • Marriage & Family Therapist
  • Lake Forest, CA
  • NPI 1285972257
  NPD Authorized official

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602720000000",
    "number": "1306444971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32732 BALLENA",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926294157",
            "telephone_number": "949-436-2127"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVONKAVI SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-14",
        "status": "A",
        "authorized_official_last_name": "SHAHRI",
        "authorized_official_first_name": "HOMAYOUN",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "949-391-7790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1285972257",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.ravonkavi.com",
            "affiliation": "N",
            "endpointDescription": "Practice Web-Site",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Text",
            "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": [
        {
            "organization_name": "Ravonkavi",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ravonkavi Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alejandra Garcia Randol
• Ricky Randolph
• Tara Rasta, D.C
• Scott Ratliff, P.T., D.P.T.
• Shane Ravenelle, PT, DPT
• Tamara Rayo
• Rebecca'S House
• Recentered Life
• Nova M Reed, MA, CLC
• Reflective Wellness LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2020; 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.