Active NPI
Sareen Toorian Keshishian, PSY.D.
- Clinical Psychologist
- Rosemead, CA
National Provider Identifier
1629353578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 94020485
- Practice address
- 4519 Rosemead Blvd
Rosemead, CA 91770-1476 - Phone
- (818) 267-4777
- NPI assigned
- Oct 11, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 94020485 | CA | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 94020485 | CA | |
| Forensic Psychologist | 103TF0200X | 94020485 | CA | |
| Group Psychotherapy Psychologist | 103TP2701X | 94020485 | CA | |
| Adult Development & Aging Psychologist | 103TA0700X | 94020485 | CA | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 94020485 | CA |
Addresses
Primary practice location
4519 Rosemead Blvd
Rosemead, CA 91770-1476
Mailing address
4519 Rosemead Blvd
Rosemead, CA 91770-1476
Phone (818) 267-4777
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
| License | State | Type | Specialty |
|---|---|---|---|
| 94020485 | CA | MD | Adult Development & Aging Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422576000000",
"number": "1629353578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4519 ROSEMEAD BLVD",
"city": "ROSEMEAD",
"state": "CA",
"postal_code": "917701476",
"telephone_number": "818-267-4777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4519 ROSEMEAD BLVD",
"city": "ROSEMEAD",
"state": "CA",
"postal_code": "917701476",
"telephone_number": "818-267-4777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESHISHIAN",
"first_name": "SAREEN",
"middle_name": "TOORIAN",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-11",
"last_updated": "2015-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "94020485",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "CA",
"license": "94020485",
"primary": false
},
{
"code": "103TF0200X",
"taxonomy_group": "",
"desc": "Psychologist, Forensic",
"state": "CA",
"license": "94020485",
"primary": false
},
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "CA",
"license": "94020485",
"primary": false
},
{
"code": "103TA0700X",
"taxonomy_group": "",
"desc": "Psychologist, Adult Development & Aging",
"state": "CA",
"license": "94020485",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "CA",
"license": "94020485",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rosemead, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.