Hedieh Azadmehr, PH.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY28899 Issued in CA

Practice address

12625 High Bluff Dr Ste 103
San Diego, CA 92130-2053

Phone

(858) 877-1860

Fax

(855) 554-1110

NPI assigned

Apr 30, 2015

Last updated

Nov 5, 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Pacific Integrative Therapy Inc

  • Clinical Psychologist
  • San Diego, CA
  • NPI 1356011217

  Mental Health

  NPD Authorized official
• Revive Psychiatric Center

  dba Revive Psychiatric and Psychological Center

  • Psychiatry Physician
  • San Diego, CA
  • NPI 1588333611

  Psychologist

  NPD Authorized official
• Mindwell Collective

  • Adult Mental Health Clinic/Center
  • San Diego, CA
  • NPI 1275497224
  NPD

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1497132260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12625 HIGH BLUFF DR STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302053",
            "telephone_number": "858-877-1860",
            "fax_number": "855-554-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12625 HIGH BLUFF DR STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921302053",
            "telephone_number": "858-877-1860",
            "fax_number": "855-554-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZADMEHR",
        "first_name": "HEDIEH",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-30",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY28899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gisela Ayub, DNP, PMHNP-BC
• Cyrus Emil Ayubcha
• Estelle Ayyad, PA-C
• Fay M. Azad, MD
• Azadeh Khajavi DMD Inc
• Rahab Barde Azaki
• Azam MD & McJunkin Medical Corp (Daydream MD Medical Centers)
• Azam MD & McJunkin Prof Corp (Daydream MD Integrative Health & Wellness)
• Azam MD PC (Daydream MD)
• Azam MD PC (Daydream MD)

• Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.