Sharareh - Ghedari, MFT LICENSED

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC42028 Issued in CA

Practice address

4900 Serrania Ave
Woodland Hills, CA 91364-3301

Phone

(818) 657-3109

NPI assigned

Mar 14, 2007

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

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

Specialty

Marriage and Family Therapist

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Change Within Reach IncGroup PAC ID 2062723810, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Change Within Reach Inc

  • Adult Mental Health Clinic/Center
  • Encino, CA
  • NPI 1003207002

  Marriage & Family Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487787784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1846",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913761846",
            "telephone_number": "818-889-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 SERRANIA AVE",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913643301",
            "telephone_number": "818-657-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHEDARI",
        "first_name": "SHARAREH",
        "middle_name": "-",
        "name_prefix": "Ms.",
        "credential": "MFT LICENSED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC42028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neeki Ghaissari, BA
• Pantea Ghasemi
• Sedigheh Ghasemi
• Nilofar Ghassemi-Bakhtiari, FNP-BC
• Negar Ghassemian
• Joshua Arash Ghiam, DDS
• Babak Ghorbanian
• Ghorbanian, DDS, Inc
• Alla Ghukasyan
• Edward John Giaquinto Jr., PH.D.

• Marriage & Family Therapist in Woodland Hills, CA
• Providers in Woodland Hills, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.