Individual provider Active NPI

Payam Ghassemlou, PH.D. , MFT

  • Marriage & Family Therapist
  • West Hollywood, CA
National Provider Identifier
1497788558
Registry record updated Oct 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT33893 Issued in CA
Practice address
8560 W Sunset Blvd Ste 500
West Hollywood, CA 90069-2342
Phone
(310) 801-2927
NPI assigned
Jul 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFT33893 CA Primary

Addresses

Primary practice location

8560 W Sunset Blvd Ste 500
West Hollywood, CA 90069-2342

Mailing address

PO Box 18177
Beverly Hills, CA 90209-4177
Phone (310) 801-2927

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 4, 2024 through Apr 4, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MFT33893CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509062400000",
    "number": "1497788558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18177",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902094177",
            "telephone_number": "310-801-2927",
            "fax_number": "310-279-1090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8560 W SUNSET BLVD STE 500",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900692342",
            "telephone_number": "310-801-2927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHASSEMLOU",
        "first_name": "PAYAM",
        "name_prefix": "Dr.",
        "credential": "PH.D. , MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2017-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT33893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

Verify at the official NPI Registry.