Individual provider Active NPI

Kaneeza Lafir, PSY.D.

  • Clinical Psychologist
  • Norwalk, CA
National Provider Identifier
1659303675
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY19238 Issued in CA
Practice address
12006 Rosecrans Ave
Norwalk, CA 90650-4119
Phone
(562) 773-3044
Fax
(562) 929-0516
NPI assigned
Jul 7, 2006
Last updated
Jun 23, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY19238 CA Primary

Addresses

Primary practice location

12006 Rosecrans Ave
Norwalk, CA 90650-4119

Mailing address

12006 Rosecrans Ave
Norwalk, CA 90650-4119
Phone (562) 773-3044

Other identifiers 2

IdentifierTypeStateIssuer
PSY192380MedicaidCA
PSY192380OtherCALICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Oct 1, 2019 through Oct 1, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY19238CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Harris Musafer MD Inc CurrentSince Apr 1, 2016 Accepting new patients

Locations

12006 Rosecrans Ave
Norwalk, CA 90650
Phone (562) 773-3044

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1659303675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12006 ROSECRANS AVE",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504119",
            "telephone_number": "562-773-3044",
            "fax_number": "562-929-0516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12006 ROSECRANS AVE",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906504119",
            "telephone_number": "562-773-3044",
            "fax_number": "562-929-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFIR",
        "first_name": "KANEEZA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY19238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PSY192380",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "PSY192380",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CA

Sources for this page

Verify at the official NPI Registry.