Individual provider Active NPI

Raha Salehinia, PSYCHOLOGIST

  • Psychologist
  • Los Angeles, CA
National Provider Identifier
1336664523
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY32320 Issued in CA
Practice address
3580 Wilshire Blvd FL 20
Los Angeles, CA 90010-2501
Phone
(213) 381-1250
NPI assigned
Aug 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY32320 CA Primary

Addresses

Primary practice location

3580 Wilshire Blvd FL 20
Los Angeles, CA 90010-2501

Mailing address

3938 Las Flores Canyon Rd
Malibu, CA 90265-5237
Phone (310) 867-3737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240112001750 CA Practitioner - Clinical Psychologist 2365893492 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3938 Las Flores Canyon Rd
Malibu, CA 90265-5237
Phone (310) 867-3737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY32320CAMDPsychologist
32320CAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
My Elixir Health Inc Current Accepting new patients
Dr Raha Salehinia Psy D Inc CurrentSince Feb 10, 2024 Accepting new patients

Locations

2444 Wilshire Blvd
Ste 416
Santa Monica, CA 90403
Phone (310) 264-1945

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": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1336664523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3938 LAS FLORES CANYON RD",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902655237",
            "telephone_number": "310-867-3737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 WILSHIRE BLVD FL 20",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900102501",
            "telephone_number": "213-381-1250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEHINIA",
        "first_name": "RAHA",
        "name_prefix": "Mrs.",
        "credential": "PSYCHOLOGIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY32320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.