Individual provider Active NPI

Bahram Gharachamani

  • Behavior Analyst
  • Van Nuys, CA
National Provider Identifier
1689877318
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
16380 Roscoe Blvd Ste 100
Van Nuys, CA 91406-1221
Phone
(833) 227-3454
Fax
(502) 589-8771
NPI assigned
Jun 8, 2007
Last updated
Dec 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

16380 Roscoe Blvd Ste 100
Van Nuys, CA 91406-1221

Mailing address

9201 Oakdale Ave Ste 101
Chatsworth, CA 91311-6546
Phone (833) 227-3454

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

Practice roles

OrganizationSpecialtyStatusNew patients
California Psychcare, Inc. Behavior Analyst CurrentSince Nov 3, 2024 Accepting new patients
Seven Counties Services, Inc. Past Accepting new patients

Locations

801 S Chevy Chase Dr
Ste 102
Glendale, CA 91205
Phone (818) 242-8916

16380 Roscoe Blvd
Van Nuys, CA 91406

16380 Roscoe Blvd
Ste 100
Van Nuys, CA 91406
Phone (818) 401-0661

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": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1689877318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9201 OAKDALE AVE STE 101",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913116546",
            "telephone_number": "833-227-3454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16380 ROSCOE BLVD STE 100",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914061221",
            "telephone_number": "833-227-3454",
            "fax_number": "502-589-8771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHARACHAMANI",
        "first_name": "BAHRAM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.