Organization Active NPI

Bliss Psychotherapy by Dr. Vakili Inc.

  • Marriage & Family Therapist
  • Irvine, CA
National Provider Identifier
1356077754
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
BLISS PSYCHOTHERAPY BY DR. VAKILI INC.
Practice address
106 Jaybird
Irvine, CA 92618-3518
Phone
(916) 945-2739
NPI assigned
Jul 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Authorized official

Name
Dr. Vesal Vakili, LMFT, PSYD.NPI 1851754998
Title
Owner
Phone
(949) 300-6608

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

106 Jaybird
Irvine, CA 92618-3518

Mailing address

106 Jaybird
Irvine, CA 92618-3518
Phone (916) 945-2739

Other identifiers 1

IdentifierTypeStateIssuer
1851754998OtherBLUE CROSS, BLUE SHIELD, AETNA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address farzin@razyani.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1356077754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 JAYBIRD",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183518",
            "telephone_number": "916-945-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 JAYBIRD",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183518",
            "telephone_number": "916-945-2739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLISS PSYCHOTHERAPY BY DR. VAKILI INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-27",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A",
        "authorized_official_last_name": "VAKILI",
        "authorized_official_first_name": "VESAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-300-6608",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMFT, PSYD."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS, BLUE SHIELD, AETNA",
            "identifier": "1851754998",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "farzin@razyani.com",
            "affiliation": "N",
            "address_1": "106 Jaybird",
            "city": "Irvine",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926183518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2022; 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.