Mahtab Kaeni, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY24944 Issued in CA

Practice address

2440 W Shaw Ave Ste 203
Fresno, CA 93711-3300

Phone

(559) 930-5565

NPI assigned

Sep 5, 2007

Last updated

Jan 10, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mahtab Aminabadi Former name

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

Clinical Psychologist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Transcendence Psychological Services, PC

  • Clinical Psychologist
  • Fresno, CA
  • NPI 1366915423
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1578757399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4756 W HARVARD AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937228036",
            "telephone_number": "310-367-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 W SHAW AVE STE 203",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113300",
            "telephone_number": "559-930-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAENI",
        "first_name": "MAHTAB",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-05",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY24944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAHTAB",
            "last_name": "AMINABADI",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• K&L Clinical Forensic Practice
• Martha Kabasiita, PHARM.D
• Saurin Kadakia
• Kadence Healthcare, Inc
• Valerie A Kadera, M.A., LMFT
• Rebecca Kahle
• Angad Pal Singh Kahlon, MD
• Avneet Kahlon, DO
• Jasraj Singh Kahlon, MD
• Meharmeet Kahlon, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2024; 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.