Active NPI
Ben Behzad Farrokhi, PSYD
- Clinical Psychologist
- San Diego, CA
National Provider Identifier
1821517376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 34545
- Practice address
- 480 Alta Rd
San Diego, CA 92179-0001 - Phone
- (619) 661-6500
- NPI assigned
- Sep 15, 2017
- Last updated
- Apr 16, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 34545 | CA | Primary |
| Marriage & Family Therapist | 106H00000X | NU | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | CA |
Addresses
Primary practice location
480 Alta Rd
San Diego, CA 92179-0001
Mailing address
22016 Buena Ventura St
Woodland Hills, CA 91364-4101
Phone (818) 437-1837
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34545 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of California Prison Industry Authority | Past | Accepting new patients | |
| Corrections and Rehabilitation-Headquarters | Past | Accepting new patients | |
| Healthright 360 | Past | Accepting new patients |
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713225600000",
"number": "1821517376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22016 BUENA VENTURA ST",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913644101",
"telephone_number": "818-437-1837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 ALTA RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921790001",
"telephone_number": "619-661-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FARROKHI",
"first_name": "BEN",
"middle_name": "BEHZAD",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-15",
"last_updated": "2024-04-16",
"certification_date": "2024-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "34545",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
- Chris T Farrelly, ND
- Jeffrey M. Farrier, MD
- Brenda Karen Farrington, IMF
- Christina Beth Farrington, MFT
- Amanda Rose Farris, DNAP, CRNA
- Maryam Farrokhroo, PHARM.D
- Farrow Psychological Services, Inc. (Farrow Psychological Services)
- Charles Edward Farrow, PH.D.
- Molly Marie Farrow, IMF
- Farschad Birdjandi MD Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.