Active NPI
Parastoo Seidenfeld, PH.D,
- Clinical Psychologist
- Los Angeles, CA
National Provider Identifier
1356970487
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY19351
- Practice address
- 3645 S Bentley Ave
Los Angeles, CA 90034-6901 - Phone
- (310) 508-9427
- NPI assigned
- Apr 1, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY19351 | CA | Primary |
Addresses
Primary practice location
3645 S Bentley Ave
Los Angeles, CA 90034-6901
Mailing address
3645 S Bentley Ave
Los Angeles, CA 90034-6901
Phone (310) 508-9427
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 82222863 | Other | CA | TAX ID |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | LA | Direct | |
| CONNECT URL | LA | Direct |
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY19351 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585699200000",
"number": "1356970487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3645 S BENTLEY AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900346901",
"telephone_number": "310-508-9427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3645 S BENTLEY AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900346901",
"telephone_number": "310-508-9427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEIDENFELD",
"first_name": "PARASTOO",
"credential": "PH.D,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-04-01",
"last_updated": "2020-04-01",
"certification_date": "2020-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY19351",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "82222863",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "LA",
"affiliation": "N",
"endpointDescription": "connect",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Los Angeles",
"address_1": "3645 S Bentley Ave",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900346901",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "LA",
"affiliation": "N",
"endpointDescription": "connect",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "LA",
"address_1": "3645 S Bentley Ave",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900346901",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.