Nader Babai Siahdohoni, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY28098 Issued in CA

Practice address

3151 Airway Ave Ste D2
Costa Mesa, CA 92626-4622

Phone

(949) 769-1372

NPI assigned

Mar 1, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• Psychogenesis Detox Center

  • Substance Abuse Rehabilitation Facility
  • Costa Mesa, CA
  • NPI 1467217372
  NPD Authorized official
• Vcat Treatment Center LLC

  • Addiction (Substance Use Disorder) Psychologist
  • Costa Mesa, CA
  • NPI 1215451935
  NPD Authorized official

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1477876753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3151 AIRWAY AVE STE D2",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264622",
            "telephone_number": "949-769-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3151 AIRWAY AVE STE D2",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264622",
            "telephone_number": "949-769-1372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BABAI SIAHDOHONI",
        "first_name": "NADER",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-01",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "4419",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY28098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Talayeh Azarpajouh
• Arthur Azcona, D.C
• Chiamaka Nicole Azinge
• Talia Aziz
• Azizi-Shahba Chiropractic
• Cherona C. Babb-Maynard
• Naomi Babcock
• Back in Motion Chiropractic Kristin Bodenbender, D.C., Inc.
• Backbay Health Center, LLC
• Nadine Maglalang Baculi

• Clinical Psychologist in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.