Individual provider Active NPI

Heleya Rad, PSY.D

  • Clinical Neuropsychologist
  • Pasadena, CA
National Provider Identifier
1629395546
Registry record updated Feb 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PSY27849 Issued in CA
Practice address
2 N Lake Ave
Ste 800
Pasadena, CA 91101-1858
Phone
(646) 449-2484
Fax
(626) 449-1107
NPI assigned
May 2, 2010
Last updated
Feb 13, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PSY27849 CA Primary

Addresses

Primary practice location

2 N Lake Ave
Ste 800
Pasadena, CA 91101-1858

Mailing address

2 N Lake Ave
Ste 800
Pasadena, CA 91101-1858
Phone (646) 449-2484

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160608001425 CA Practitioner - Clinical Psychologist 0446540108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.32 of 100Reported as group
Quality
76.01
Promoting interoperability
100
Improvement activities
40
Cost
56.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY27849CAMDClinical Neuropsychologist
27849CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
UC Regents CurrentSince Jun 1, 2017 Accepting new patients
Brian Wu MD PHD Inc PastSince Oct 1, 2024 Accepting new patients

Locations

300 Medical Plz
Los Angeles, CA 90095
Phone (310) 206-8434

300 Medical Plz
Ste B200
Los Angeles, CA 90095
Phone (310) 794-1459

760 Westwood Plz
Los Angeles, CA 90095
Phone (310) 206-5110

File 2939
Los Angeles, CA 90074
Phone (310) 794-6596

Organizations & group practices 2

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": "1272758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486944000000",
    "number": "1629395546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 N LAKE AVE",
            "address_2": "STE 800",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011858",
            "telephone_number": "646-449-2484",
            "fax_number": "626-449-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 N LAKE AVE",
            "address_2": "STE 800",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011858",
            "telephone_number": "646-449-2484",
            "fax_number": "626-449-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAD",
        "first_name": "HELEYA",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-02",
        "last_updated": "2017-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY27849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.