Alan A. Modarressi, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY12997 Issued in CA

Practice address

10800 Paramount Blvd Ste 202
Downey, CA 90241-3317

Phone

(562) 861-7226

Fax

(562) 861-6876

NPI assigned

Mar 19, 2007

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

Clinical Psychologist

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Alan a Modarressi PHD a Professional Psychological Corp

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Downey, CA
  • NPI 1023278876
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1598889230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10800 PARAMOUNT BLVD STE 202",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902413317",
            "telephone_number": "562-861-7226",
            "fax_number": "562-861-6876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10800 PARAMOUNT BLVD STE 202",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902413317",
            "telephone_number": "562-861-7226",
            "fax_number": "562-861-6876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MODARRESSI",
        "first_name": "ALAN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY12997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kacey Chiho Miyagishima
• Ronald Mizufuka, PHARM D.
• Alyson Kiyomi Mizuno-Kubo, PHARM.D.
• MLS Clinical & Medical Corporation
• Julia Marie Mockeridge, PT, DPT
• Aarti Modh, RCP
• Ibrahim Mohamed, RPH
• Mohammad Raffat Jaber M D Inc
• Ladan Mohammadi, MD
• Jashashree Mohapatra, DPT

• Clinical Psychologist in Downey, CA
• Providers in Downey, 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 30, 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.