Individual provider Active NPI

Tala Ghayoumi, PSYD

  • Clinical Psychologist
  • Studio City, CA
National Provider Identifier
1417586942
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
33240 Issued in CA
Practice address
4240 Laurel Canyon Blvd Unit 306
Studio City, CA 91604-2256
Phone
(818) 523-7157
NPI assigned
Apr 6, 2020
Last updated
Sep 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 33240 CA Primary

Addresses

Primary practice location

4240 Laurel Canyon Blvd Unit 306
Studio City, CA 91604-2256

Mailing address

4240 Laurel Canyon Blvd Unit 306
Studio City, CA 91604-2256
Phone (818) 523-7157

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220621002197 CA Practitioner - Clinical Psychologist 2769861897 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33240CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
TSNG Psychology, a Professional Corporation CurrentSince Jun 23, 2025 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.

NPI Registry JSON

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1417586942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 LAUREL CANYON BLVD UNIT 306",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042256",
            "telephone_number": "818-523-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 LAUREL CANYON BLVD UNIT 306",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042256",
            "telephone_number": "818-523-7157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAYOUMI",
        "first_name": "TALA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-06",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "33240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Studio City, CA

Sources for this page

Verify at the official NPI Registry.