Individual provider Active NPI

Liam Zaidel, PH.D.

  • Clinical Psychologist
  • Chatsworth, CA
National Provider Identifier
1730476763
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY24113 Issued in CA
Practice address
20151 Nordhoff St
Chatsworth, CA 91311-6215
Phone
(132) 925-1949
NPI assigned
Jun 28, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY24113 CA
Clinical Psychologist 103TC0700X PSY24113 CA Primary

Addresses

Primary practice location

20151 Nordhoff St
Chatsworth, CA 91311-6215

Mailing address

21781 Ventura Blvd Ste 1017
Woodland Hills, CA 91364-1835
Phone (818) 633-4799

Other practice location 1

21781 Ventura Blvd # 1017
Woodland Hills, CA 91364-1835
Phone (818) 633-4799

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
I20111010000369 CA Practitioner - Clinical Psychologist 2961674247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

20151 Nordhoff St
Chatsworth, CA 91311-6215
Phone (818) 407-3200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PSY24113CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles County Department of Mental Health CurrentSince Nov 9, 2021 Accepting new patients
Los Angeles County Department of Mental Health CurrentSince Nov 9, 2021 Accepting new patients
Los Angeles County Department of Mental Health Current Accepting new patients
Liam Zaidel, Psychologist, Inc Psychologist Current Accepting new patients

Locations

20151 Nordhoff St
Chatsworth, CA 91311
Phone (818) 407-3200

349A E Avenue K6
Lancaster, CA 93535
Phone (661) 723-4260

510 S Vermont Ave
Fl 19
Los Angeles, CA 90020
Phone (213) 480-3416

22020 Clarendon St
Ste 208
Woodland Hills, CA 91367
Phone (818) 332-2287

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": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1730476763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21781 VENTURA BLVD STE 1017",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641835",
            "telephone_number": "818-633-4799",
            "fax_number": "818-713-2627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20151 NORDHOFF ST",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913116215",
            "telephone_number": "132-925-1949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21781 Ventura Blvd # 1017",
            "address_purpose": "LOCATION",
            "city": "Woodland Hills",
            "state": "CA",
            "postal_code": "913641835",
            "country_code": "US",
            "telephone_number": "818-633-4799",
            "fax_number": "818-713-2627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAIDEL",
        "first_name": "LIAM",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-28",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY24113",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY24113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatsworth, CA

Sources for this page

Verify at the official NPI Registry.