Sheena Pooneh Yazdandoost, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

59330 Issued in TX

Practice address

508 Deep Eddy Ave
Austin, TX 78703-4555

Phone

(737) 400-1237

Fax

(512) 469-6002

NPI assigned

Jan 17, 2020

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Deep Centered Psychiatry PLLC

  • Psychiatry Physician
  • Austin, TX
  • NPI 1629853825
  NPD (past)

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579219200000",
    "number": "1407486434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 DEEP EDDY AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787034555",
            "telephone_number": "737-400-1237",
            "fax_number": "512-469-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 DEEP EDDY AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787034555",
            "telephone_number": "737-400-1237",
            "fax_number": "512-469-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAZDANDOOST",
        "first_name": "SHEENA",
        "middle_name": "POONEH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-17",
        "last_updated": "2020-01-17",
        "certification_date": "2020-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "59330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryam Yasrebi, PT
• Sara Yasrebi, MD
• Katherine Yates, M.A., LPC-S
• John S Yatsu, MD
• Vanessa T Yawn, PA-C
• Ashkan Khakparvar Yazdi, PHARMD, PHD
• Kamyar Yazdi, D.D.S.
• Shelly Ybanez, APRN
• Damaris Gabrielle Ybarra, LPC
• Victoria Ybarra

• Clinical Social Worker in Austin, TX
• Providers in Austin, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2020; 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.