Bahar Moheban, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY32421 Issued in CA

Practice address

5665 Wilshire Blvd # 1033
Los Angeles, CA 90036-3710

Phone

(707) 872-7727

NPI assigned

Aug 29, 2018

Last updated

Dec 3, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1700368479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5665 WILSHIRE BLVD # 1033",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363710",
            "telephone_number": "707-872-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5665 WILSHIRE BLVD # 1033",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900363710",
            "telephone_number": "707-872-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHEBAN",
        "first_name": "BAHAR",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2021-12-03",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY32421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yasmeen Mohammedi
• Rohith Mohan, MD
• Sarita Aggarwal Mohanty, MD
• Mohayed Mohayed, MD
• Hamid Mohazab, DO
• Shirin Moheet, PSY.D
• Ali Mohempour, PHARM.D.
• Robin Mohilner
• Mohinder S Sohal MD a Professional Corp
• Afshan Wilayat Mohiuddin, DDS

• Clinical Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2021; 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.