Active NPI
7 Cycles of Life
- Clinical Psychologist
- San Ramon, CA
National Provider Identifier
1417528480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- 7 CYCLES OF LIFE
- Practice address
- 2821 Crow Canyon Rd Ste 202
San Ramon, CA 94583-1659 - Phone
- (925) 895-2296
- Fax
- (925) 964-8877
- NPI assigned
- Jul 9, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marjan Moinzadeh, PHD
- Title
- Owner
- Phone
- (925) 895-2296
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | Primary |
Addresses
Primary practice location
2821 Crow Canyon Rd Ste 202
San Ramon, CA 94583-1659
Mailing address
191 Cameo Dr
Danville, CA 94526-1644
Phone (925) 895-2296
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211111002452 | CA | Part B Supplier - Clinic/Group Practice | 8426447475 |
Receives reassigned benefits from 2 practitioners Practice locations: Los Gatos, CA; San Ramon, CA |
National Provider Directory
National Provider DirectoryLocations
101 Church St
Ste 9
Los Gatos, CA 95030
Phone (408) 264-0100
Practitioners & affiliated clinicians
Practitioners 2
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": "1625788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1625788800000",
"number": "1417528480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "191 CAMEO DR",
"city": "DANVILLE",
"state": "CA",
"postal_code": "945261644",
"telephone_number": "925-895-2296",
"fax_number": "925-964-8877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2821 CROW CANYON RD STE 202",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945831659",
"telephone_number": "925-895-2296",
"fax_number": "925-964-8877"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "7 CYCLES OF LIFE",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-09",
"last_updated": "2021-07-09",
"certification_date": "2021-07-09",
"status": "A",
"authorized_official_last_name": "MOINZADEH",
"authorized_official_first_name": "MARJAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "925-895-2296",
"authorized_official_credential": "PHD"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Ramon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.