Individual provider Active NPI

Sayeh Ghazizadeh

  • Clinical Psychologist
  • Irvine, CA
National Provider Identifier
1679098875
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY35583 Issued in CA
Practice address
19762 Macarthur Blvd Ste 120
Irvine, CA 92612-2425
Phone
(424) 201-1600
NPI assigned
Aug 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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 PSY35583 CA Primary

Addresses

Primary practice location

19762 Macarthur Blvd Ste 120
Irvine, CA 92612-2425

Mailing address

2601 Airport Dr Ste 135
Torrance, CA 90505-6141
Phone (424) 201-1600

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
I20250904004287 CA Practitioner - Clinical Psychologist 8325540867 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sud Specialty Group - CaGroup PAC ID 9537534177, 519 clinicians

Practice addresses (Care Compare)

5201 Great America Pkwy
Suite 320
Santa Clara, CA 95054-1140
Phone (323) 968-6182

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY35583CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Institute for Psychotherapy and Assessment, Inc Clinical CurrentSince Mar 30, 2025 Accepting new patients
Sud Specialty Group - Ca CurrentSince Aug 20, 2025 Accepting new patients
Mind Map Psychological & Assessment Services Clinical Past Accepting new patients

Locations

19762 MacArthur Blvd
Ste 120
Irvine, CA 92612
Phone (424) 201-1600

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295

2601 Airport Dr
Ste 135
Torrance, CA 90505
Phone (424) 201-1600

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1679098875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 AIRPORT DR STE 135",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056141",
            "telephone_number": "424-201-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19762 MACARTHUR BLVD STE 120",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122425",
            "telephone_number": "424-201-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAZIZADEH",
        "first_name": "SAYEH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-08",
        "last_updated": "2025-03-27",
        "certification_date": "2025-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY35583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

Verify at the official NPI Registry.