Individual provider Active NPI

Haleh Eghrari, PH.D.

  • Clinical Psychologist
  • Los Angeles, CA
National Provider Identifier
1417993429
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY13673 Issued in CA
Practice address
10700 Santa Monica Blvd Ste 300
Los Angeles, CA 90025-6587
Phone
(310) 441-9550
Fax
(310) 234-2682
NPI assigned
Jun 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 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 PSY13673 CA Primary

Addresses

Primary practice location

10700 Santa Monica Blvd Ste 300
Los Angeles, CA 90025-6587

Mailing address

10700 Santa Monica Blvd Ste 300
Los Angeles, CA 90025-6587
Phone (310) 441-9550

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
I20120227000549 CA Practitioner - Clinical Psychologist 5890953566 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10700 Santa Monica Blvd
Suite 300
Los Angeles, CA 90025-6587
Phone (310) 441-9550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY13673CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Haleh Eghrari Psychology Inc Psychologist CurrentSince Dec 30, 2011 Accepting new patients

Locations

1314 Westwood Blvd
Ste 206
Los Angeles, CA 90024
Phone (310) 441-9550

10700 Santa Monica Blvd
Ste 300
Los Angeles, CA 90025
Phone (310) 441-9550

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1417993429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 SANTA MONICA BLVD STE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256587",
            "telephone_number": "310-441-9550",
            "fax_number": "310-234-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 SANTA MONICA BLVD STE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256587",
            "telephone_number": "310-441-9550",
            "fax_number": "310-234-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGHRARI",
        "first_name": "HALEH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY13673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.