Maryam Etemadjam, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Practice address

16055 Ventura Blvd Ste 507
Encino, CA 91436-2608

Phone

(818) 926-8903

NPI assigned

Nov 26, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Maryam Sepidnameh Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1227657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1497900823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 S DOHENY DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902113510",
            "telephone_number": "818-926-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16055 VENTURA BLVD STE 507",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362608",
            "telephone_number": "818-926-8903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETEMADJAM",
        "first_name": "MARYAM",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-26",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARYAM",
            "last_name": "SEPIDNAMEH",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kimberly Daniela Espinoza
• Penuel Estabillo, PTA
• Nicholas Estacio, DPT
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• Michael Estrada Jr.
• Gary L. Etting, O.D.
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• Rome Diostonne Evangelista, NP
• Michaele E Evans

• Clinical Psychologist in Encino, CA
• Providers in Encino, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.