Active NPI
Bahar Safaei-Far, PSY.D.
- Clinical Psychologist
- Tarzana, CA
National Provider Identifier
1396961512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20208
- Practice address
- 18757 Burbank Blvd
Suite 125
Tarzana, CA 91356-3375 - Phone
- (818) 963-1338
- Fax
- (818) 527-1339
- NPI assigned
- Apr 17, 2007
- Last updated
- Apr 8, 2014
- 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 | 20208 | CA | Primary |
Addresses
Primary practice location
18757 Burbank Blvd
Suite 125
Tarzana, CA 91356-3375
Mailing address
18757 Burbank Blvd
Suite 125
Tarzana, CA 91356-3375
Phone (818) 963-1338
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20208 | Other | CA | PSYD LICENSE NUMBER |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark John Souris | Clinical | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Tarzana, CA
- NPI 1215381918
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396915200000",
"number": "1396961512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18757 BURBANK BLVD",
"address_2": "SUITE 125",
"city": "TARZANA",
"state": "CA",
"postal_code": "913563375",
"telephone_number": "818-963-1338",
"fax_number": "818-527-1339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18757 BURBANK BLVD",
"address_2": "SUITE 125",
"city": "TARZANA",
"state": "CA",
"postal_code": "913563375",
"telephone_number": "818-963-1338",
"fax_number": "818-527-1339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAFAEI-FAR",
"first_name": "BAHAR",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2014-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "20208",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYD LICENSE NUMBER",
"identifier": "20208",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.