Elazar Tehrani, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY28780 Issued in CA

Practice address

21621 Nordhoff St Ste 300
Chatsworth, CA 91311-5825

Phone

(818) 439-9848

Fax

(888) 539-9697

NPI assigned

Jan 12, 2017

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

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

Medicare enrollment (NPD)

Enrolled

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.

• Psych Assessments Psychology Inc

  • Community/Behavioral Health Agency
  • Chatsworth, CA
  • NPI 1427686039
  NPD Authorized official
• Brian Wu MD PHD Inc

  • Psychiatry Physician
  • San Gabriel, CA
  • NPI 1528639481
  NPD

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1346786597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21621 NORDHOFF ST STE 300",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913115825",
            "telephone_number": "818-439-9848",
            "fax_number": "888-539-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21621 NORDHOFF ST STE 300",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913115825",
            "telephone_number": "818-439-9848",
            "fax_number": "888-539-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEHRANI",
        "first_name": "ELAZAR",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-12",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY28780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Jesusa Buan Tan, FNP
• Lynda M. Tang, O.D.
• Alejandra Albania Taveras, D.D.S.
• Lamar Taylor
• Tehillim Home Care Agency LLC
• Tender Touch Homecare
• Tender Touch Homecare, Inc.
• Gary Terzian, PA-C
• Thandiwe Thabethe, ACSW
• The Hollywood & Vine Recovery Center

• Clinical Psychologist in Chatsworth, CA
• Providers in Chatsworth, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.