Individual provider Active NPI

Leili Zarbakhsh

  • Marriage & Family Therapist
  • Chatsworth, CA
National Provider Identifier
1548529498
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
24726 Issued in CA
Practice address
9201 Oakdale Ave
Chatsworth, CA 91311-6542
Phone
(805) 339-0210
Fax
(805) 642-3757
NPI assigned
May 13, 2012
Last updated
Dec 12, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X LEP1844 CA
Marriage & Family Therapist 106H00000X 24726 CA Primary
Behavior Analyst 103K00000X 1-04-1816 CA

Addresses

Primary practice location

9201 Oakdale Ave
Chatsworth, CA 91311-6542

Mailing address

9501 Oakdale Ave
Chatsworth, CA 91311-5625
Phone (805) 339-0210

Other identifiers 1

IdentifierTypeStateIssuer
1-04-1816OtherCABCBA CERTIFICATE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LEP1844CAMDSchool Psychologist
24726CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Leili Zarbakhsh Integrated Individual and Family Therapy Prof. Corp. Marriage & Family Therapist CurrentSince Jul 31, 2022 Accepting new patients
California Psychcare, Inc. Behavior Analyst Past Accepting new patients
Passport to Adaptive Living Behavior Analyst Past Accepting new patients

Locations

5005 Canyon Crest Dr
Riverside, CA 92507
Phone (747) 224-2090

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1336867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1548529498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 OAKDALE AVE",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913115625",
            "telephone_number": "805-339-0210",
            "fax_number": "805-642-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 OAKDALE AVE",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913116542",
            "telephone_number": "805-339-0210",
            "fax_number": "805-642-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARBAKHSH",
        "first_name": "LEILI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-13",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": "LEP1844",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "24726",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "CA",
            "license": "1-04-1816",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBA CERTIFICATE",
            "identifier": "1-04-1816",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatsworth, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.