Fereshte Mirzad, Psychologist P.C.

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

FERESHTE MIRZAD, PSYCHOLOGIST P.C.

Practice address

18811 Huntington St Ste 200
Huntington Beach, CA 92648-6003

Phone

(818) 274-8056

NPI assigned

Jul 6, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Fereshte Mirzad, PSY.D.

Title

Psychologist

Phone

(818) 274-8056

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1688601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1730867177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18811 HUNTINGTON ST STE 200",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926486003",
            "telephone_number": "818-274-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18811 HUNTINGTON ST STE 200",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926486003",
            "telephone_number": "818-274-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FERESHTE MIRZAD, PSYCHOLOGIST P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-06",
        "last_updated": "2023-07-06",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "MIRZAD",
        "authorized_official_first_name": "FERESHTE",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "818-274-8056",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.