Active NPI
Kamran Psychology Inc
- Clinical Psychologist
- Pasadena, CA
National Provider Identifier
1497403620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kamran Eshtehardi, PHD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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
National Provider Directory
National Provider DirectoryLocations
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.