Mohammad Max Gezerseh, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC51294 Issued in CA

Practice address

30 Via Lucca
Suite E321
Irvine, CA 92612-0610

Phone

(949) 463-2515

NPI assigned

Sep 30, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Holistic Psychotherapy Inc

  • Mental Health Counselor
  • Lake Forest, CA
  • NPI 1316709652
  NPD (past) Authorized official
• Holistic Psychotherapy Inc.

  • Mental Health Counselor
  • Lake Forest, CA
  • NPI 1548023963
  NPD (past)

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368144000000",
    "number": "1548411218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 VIA LUCCA",
            "address_2": "SUITE E321",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926120610",
            "telephone_number": "949-463-2515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 VIA LUCCA",
            "address_2": "SUITE E321",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926120610",
            "telephone_number": "949-463-2515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEZERSEH",
        "first_name": "MOHAMMAD",
        "middle_name": "MAX",
        "name_prefix": "Mr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-30",
        "last_updated": "2013-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC51294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Villanueva Gerl, B.S., RBT
• Claire Lourdes A Gerona
• Felice L Gersh, MD
• Getting There Transportation LLC
• Gexin and Associates, a Medical Corporation
• Ara Ghadimi
• Gita Ghadimi, OPTOMETRIST
• Parisa Ghaemi
• Bahar Ghafouri, D.D.S., M.S., A.P.C.
• Nahal Ghahremani-Sharifi, PHARMD

• Marriage & Family Therapist in Irvine, CA
• Providers in Irvine, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.