Medisa Payvarpour

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

31271 Issued in CA

Practice address

1333 Willow Pass Rd Ste 102
Portia Bell Hume Behavioral Health and Training Center
Concord, CA 94520-5225

Phone

(925) 825-7094

NPI assigned

Aug 11, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Medisa Payvarpour Psychological Services Inc

  • Clinical Psychologist
  • Albany, CA
  • NPI 1518837939
  NPD Authorized official

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1386876241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 MLK JR WAY",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947043238",
            "telephone_number": "510-745-9152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 WILLOW PASS RD STE 102",
            "address_2": "PORTIA BELL HUME BEHAVIORAL HEALTH AND TRAINING CENTER",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205225",
            "telephone_number": "925-825-7094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2640 Mlk Jr Way",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947043238",
            "country_code": "US",
            "telephone_number": "510-981-5280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYVARPOUR",
        "first_name": "MEDISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-11",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "31271",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zahra Pavana
• Venelina Pavlova
• Erika Kaur Pawar
• Tya Ramae Payne
• Lynda Hall Payton
• Maria Jose Paz Chavez
• Nancy Paz-Sabillon
• Jessica Paz
• Vanessa Dolores Paz
• Gabriella Rose Peace

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.