Niosha Sarfallah, PSY.D.
Individual provider Active NPI Clinical Psychologist · Los Angeles, CA
NPI 1750972741 · NPPES record last updated Oct 11, 2024
Key facts
- NPI
- 1750972741
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 31902 (CA)
- Practice address
- 6200 Wilshire Blvd Ste 1410
Los Angeles, CA 90048-5815 - Phone
- (925) 282-1778
- NPI assigned
- Feb 1, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Pacific Coast Psychiatric Associates Inc
Practice addresses (Care Compare)
6200 Wilshire Blvd
Suite 1410
Los Angeles, CA 90048-5815
Phone (925) 282-1778
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241018001259 | CA | Practitioner - Clinical Psychologist | 5799217436 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31902 | CA | MD | Recreation Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Coast Psychiatric Associates Inc | Clinical | Current |
Accepting new patients |
Locations
6200 Wilshire Blvd
Ste 1410
Los Angeles, CA 90048
Phone (323) 403-0474
490 Post St
Ste 1043
San Francisco, CA 94102
Phone (415) 409-0944
1450 10th St
Ste 404
Santa Monica, CA 90401
Phone (310) 451-8144
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 31902 | CA | Yes |
Addresses
Primary practice location
6200 Wilshire Blvd Ste 1410
Los Angeles, CA 90048-5815
Mailing address
6200 Wilshire Blvd Ste 1410
Los Angeles, CA 90048-5815
Other practice location 1
5700 Hannum Ave Ste 250
Culver City, CA 90230-6548
Phone (310) 849-0227
Other providers in Los Angeles, CA
- Soorena Sardarzadeh
- Smeeta Sardesai
- Tara Sardesai
- Elaheh Sareban
- Farhood Saremi
- Angela Marie Sarff
- Kathleen E. Sargeant
- Michael E Sargeant
- Barbara Sargent
- Carla Emilce Sargiotto
All providers in Los Angeles, CA · Clinical Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.