Nastaran Bayani-Rad, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY27113 Issued in CA

Practice address

4605 Lankershim Blvd Ste 545
North Hollywood, CA 91602-1818

Phone

(323) 999-1395

NPI assigned

Aug 22, 2013

Reactivated

May 7, 2015

Last updated

Jun 12, 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

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spencer Scott Psychologist Corp

  • Clinical Psychologist
  • North Hollywood, CA
  • NPI 1194249292
  NPD

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

{
    "created_epoch": "1377129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623456000000",
    "number": "1811321193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20929 VENTURA BLVD STE 47-427",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 LANKERSHIM BLVD STE 545",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916021818",
            "telephone_number": "323-999-1395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYANI-RAD",
        "first_name": "NASTARAN",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-22",
        "last_updated": "2021-06-12",
        "certification_date": "2021-04-28",
        "deactivation_date": "2014-12-04",
        "reactivation_date": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY27113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noha R Barsoum, M.D.
• Paul Barton
• Monique Bass, CD(DONA)
• Raymond Rey Batarina
• Keith Battista, AMFT, APCC
• BCH Hospice Inc
• David Elijah Beal, DNP, RN, FNP-BC
• Roy M. Beals I, D.D.S.
• Kimberly Beatty
• Beatus Hospice Care,Inc.

• Clinical Psychologist in North Hollywood, CA
• Providers in North Hollywood, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.