Organization Active NPI

Kamran Psychology Inc

  • Clinical Psychologist
  • Pasadena, CA
National Provider Identifier
1497403620
Registry record updated Mar 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
KAMRAN PSYCHOLOGY INC
Practice address
65 N Madison Ave Ste 707
Pasadena, CA 91101-2046
Phone
(818) 527-5218
NPI assigned
Mar 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2022

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

Authorized official

Name
Dr. Kamran Eshtehardi, PHDNPI 1043767098
Title
Ceo
Phone
(818) 527-5218

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

65 N Madison Ave Ste 707
Pasadena, CA 91101-2046

Mailing address

65 N Madison Ave Ste 707
Pasadena, CA 91101-2046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220622001672 CA Part B Supplier - Clinic/Group Practice 9931588936 Receives reassigned benefits from 2 practitioners
Practice locations: Pasadena, CA

National Provider Directory

National Provider Directory

Locations

65 N Madison Ave
Ste 707
Pasadena, CA 91101
Phone (626) 765-7556

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1497403620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 N MADISON AVE STE 707",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 N MADISON AVE STE 707",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012046",
            "telephone_number": "818-527-5218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMRAN PSYCHOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "ESHTEHARDI",
        "authorized_official_first_name": "KAMRAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-527-5218",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.