Organization Active NPI

Pardis Amirhoushmand, PH.D., a Psychology Corporation

  • Clinical Psychologist
  • Ontario, CA
National Provider Identifier
1700239357
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY 22915 Issued in CA
Legal business name
PARDIS AMIRHOUSHMAND, PH.D., A PSYCHOLOGY CORPORATION
Practice address
317 W F St
Ontario, CA 91762-3205
Phone
(714) 325-5621
NPI assigned
Jul 19, 2016
Last updated
Jul 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Authorized official

Name
Dr. Pardis Amirhoushmand, PH.D.NPI 1003946179
Title
Owner
Phone
(714) 325-5621

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X PSY 22915 CA Primary

Addresses

Primary practice location

317 W F St
Ontario, CA 91762-3205

Mailing address

317 W F St
Ontario, CA 91762-3205
Phone (714) 325-5621

National Provider Directory

National Provider Directory

Locations

317 W F St
Ontario, CA 91762
Phone (909) 986-7111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1700239357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 W F ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623205",
            "telephone_number": "714-325-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 W F ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917623205",
            "telephone_number": "714-325-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARDIS AMIRHOUSHMAND, PH.D., A PSYCHOLOGY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "AMIRHOUSHMAND",
        "authorized_official_first_name": "PARDIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-325-5621",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 22915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.