Sheyda Pakkhoo

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

1669651675 Issued in CA

Practice address

1910 Olympic Blvd
Suite #220
Walnut Creek, CA 94596-5071

Phone

(925) 283-3073

NPI assigned

Feb 27, 2018

Last updated

Feb 27, 2018By 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

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1457852253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 MONTECITO CRESCENT",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945973417",
            "telephone_number": "925-818-5325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 OLYMPIC BLVD",
            "address_2": "SUITE #220",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965071",
            "telephone_number": "925-283-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAKKHOO",
        "first_name": "SHEYDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "1669651675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Pai
• Jennifer Paige Petersen, PSY.D.
• Daniel Young Paik, MD
• Wendy Paik, PSY.D.
• Lauren Pak
• Nick Sina Pakzad, M.D.
• Satinder Pal, MD
• Esza Palacios
• Wendy Tina Palacios, WENDY PALACIOS
• Kaylahnie M Palencia

• Behavior Technician in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Behavior Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; 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.