Active NPI
Dehnad Hakimi, PSY.D.
- Psychologist
- Los Angeles, CA
National Provider Identifier
1851739650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 29116
- Practice address
- 11340 W Olympic Blvd Ste 385
Los Angeles, CA 90064-1639 - Phone
- (310) 853-2072
- NPI assigned
- Jun 13, 2013
- Last updated
- Jul 21, 2022
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 29116 | CA | Primary |
Addresses
Primary practice location
11340 W Olympic Blvd Ste 385
Los Angeles, CA 90064-1639
Mailing address
11340 W Olympic Blvd Ste 385
Los Angeles, CA 90064-1639
Phone (424) 226-8285
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170628003320 | CA | Practitioner - Clinical Psychologist | 6709155153 | Practice locations: Los Angeles, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
11340 W Olympic Blvd
Suite 350
Los Angeles, CA 90064-1639
Phone (818) 324-1391
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29116 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1851739650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11340 W OLYMPIC BLVD STE 385",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900641639",
"telephone_number": "424-226-8285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11340 W OLYMPIC BLVD STE 385",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900641639",
"telephone_number": "310-853-2072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAKIMI",
"first_name": "DEHNAD",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-13",
"last_updated": "2022-07-21",
"certification_date": "2021-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "29116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.