Miriam Hamideh, PH. D., Clinical Psychologist, Inc.

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

PSY17320 Issued in CA

Legal business name

MIRIAM HAMIDEH, PH. D., CLINICAL PSYCHOLOGIST, INC.

Doing business as

PCI Westlake Centers

Practice address

31194 La Baya Dr Ste 201
Westlake Village, CA 91362-6431

Phone

(805) 797-7875

NPI assigned

May 7, 2012

Last updated

Jul 1, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Miriam Hamideh, PHDNPI 1124183561

Title

Clinical Psychologist/President

Phone

(805) 797-7875

Specialties & licenses 2

Addresses

Other names 1

• PCI Westlake Centers Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Miriam Hamideh, PH.D.

  • Psychologist
  • Westlake Village, CA
  • NPI 1124183561
  Medicare reassignment NPD Authorized official
• Misak Khachatryan, PSY.D.

  • Clinical Psychologist
  • Westlake Village, CA
  • NPI 1659898971
  NPD
• Efren Olmos, LMFT

  • Marriage & Family Therapist
  • Westlake Village, CA
  • NPI 1548081276
  NPD (past)

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

{
    "created_epoch": "1336348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593561600000",
    "number": "1508125998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31194 LA BAYA DR STE 201",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913626431",
            "telephone_number": "805-338-2209",
            "fax_number": "310-919-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31194 LA BAYA DR STE 201",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913626431",
            "telephone_number": "805-797-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRIAM HAMIDEH, PH. D., CLINICAL PSYCHOLOGIST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-07",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A",
        "authorized_official_last_name": "HAMIDEH",
        "authorized_official_first_name": "MIRIAM",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST/PRESIDENT",
        "authorized_official_telephone_number": "805-797-7875",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "PSY17320",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PCI Westlake Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph Paul Miletich, M.D.
• Kyle Leon Miller, D.M.D.
• Marion J Miller, M.A.
• Shirley Anne Miller, M.S., L.M.F.T
• Jennifer G. Miramontes, LMFT
• Miryam Liberman, M.D., Inc.
• Ara Mirzaians, DMD
• Mission Hospice Services of Los Angeles, LLC
• Maura N Mitrushina, PH.D.
• MLW,Inc (Better Health & Wellness)

• Adult Mental Health Clinic/Center in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.