Azarm Ghareman, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY17003 Issued in CA

Practice address

1241 Johnson Ave # 118
San Luis Obispo, CA 93401-3306

Phone

(805) 546-1190

NPI assigned

Dec 5, 2006

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.

Opted out of Medicare

Yes, effective Jan 1, 2017 through Jan 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297641600000",
    "number": "1841358397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 JOHNSON AVE PMB #118",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013306",
            "telephone_number": "805-546-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 JOHNSON AVE # 118",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934013306",
            "telephone_number": "805-546-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHAREMAN",
        "first_name": "AZARM",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-05",
        "last_updated": "2011-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY17003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Hanford Gerber, PH.D.
• Mardi A. Geredes, MA, RRW
• Kenneth Howard Germanow, PH.D.
• Joel Alan Germond, PSY.D.
• Amanda Margaret Getten, LMFT
• Ghassan Aro DDS Proffessional Dental Corp
• Shervin Gholian, D.M.D., M.M.SC.
• Anthony Giaquinta Sr.
• Rosemary Ostrand Giardina, LCSW
• Kaitlin Gibbons, RD

• Psychologist in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.