Melody Bahareh Razi, AMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

148088 Issued in CA

Practice address

8739 Santa Monica Blvd
West Hollywood, CA 90069-4507

Phone

(310) 623-1477

Fax

(310) 854-0134

NPI assigned

Jan 11, 2021

Reactivated

Jul 31, 2024

Last updated

Sep 30, 2024By the provider in NPPES

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Twin Town Corporation

  dba Twin Town Treatment Centers, West Hollywood

  • Substance Use Disorder Rehabilitation Clinic/Center
  • West Hollywood, CA
  • NPI 1124454962
  NPD (past)

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1427647890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8739 SANTA MONICA BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694507",
            "telephone_number": "310-623-1477",
            "fax_number": "310-854-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8739 SANTA MONICA BLVD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694507",
            "telephone_number": "310-623-1477",
            "fax_number": "310-854-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZI",
        "first_name": "MELODY",
        "middle_name": "BAHAREH",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-11",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "deactivation_date": "2024-07-23",
        "reactivation_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "148088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ernest Rasyidi, M.D.
• Cali Raukar, PHARMD
• Edward Christopher Ray, M.D.
• Pamela Sue Rayford, CNM
• Armin Razavi, MD
• Jane Marie Reardon, MA. MFT
• Michelle Rebuffatti, MD
• Red Robin Nursing LLC
• Russell Taylor Redden, AMFT
• Kavya Muddasani Reddy, M.D.

• Marriage & Family Therapist in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.