Active NPI
Reza Ray Nabavi, PH.D.
- Clinical Psychologist
- Santa Monica, CA
National Provider Identifier
1851449987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY21276
- Practice address
- 2001 Wilshire Blvd
Suite 505
Santa Monica, CA 90403-5641 - Phone
- (310) 893-3255
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY21276 | CA | Primary |
Addresses
Primary practice location
2001 Wilshire Blvd
Suite 505
Santa Monica, CA 90403-5641
Mailing address
2001 Wilshire Blvd
Suite 505
Santa Monica, CA 90403-5641
Phone (310) 893-3255
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY21276 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415232000000",
"number": "1851449987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 WILSHIRE BLVD",
"address_2": "SUITE 505",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904035641",
"telephone_number": "310-893-3255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 WILSHIRE BLVD",
"address_2": "SUITE 505",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904035641",
"telephone_number": "310-893-3255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NABAVI",
"first_name": "REZA",
"middle_name": "RAY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2014-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY21276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.