Advanced Mental Health Center, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY28121 Issued in CA

Legal business name

ADVANCED MENTAL HEALTH CENTER, INC.

Practice address

17514 Ventura Blvd
100
Encino, CA 91316-3852

Phone

(310) 877-0600

NPI assigned

Aug 29, 2016

Last updated

May 4, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Farzaneh Ehsan, PSY,D.NPI 1144647819

Title

Psychologist

Phone

(310) 877-0600

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Farzaneh Ehsan, PSYD

  • Clinical Psychologist
  • Sherman Oaks, CA
  • NPI 1144647819
  Medicare reassignment NPD Authorized official
• Debi Ash, LMFT

  • Marriage & Family Therapist
  • Sherman Oaks, CA
  • NPI 1003461716
  NPD (past)
• Mojdeh Yahyaabadi Hormozian, PSYCHOLOGIST

  • Mental Health Counselor
  • Sherman Oaks, CA
  • NPI 1538803945
  NPD (past)
• Robert Eugene Leeburg, LCSW

  • Clinical Social Worker
  • Sherman Oaks, CA
  • NPI 1124480645
  NPD (past)
• Eva Sahar Mohebban, ASW

  • Social Worker
  • Winnetka, CA
  • NPI 1053753962
  NPD (past)

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588550400000",
    "number": "1881140929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18740 VENTURA BLVD STE 202",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913566310",
            "telephone_number": "310-877-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17514 VENTURA BLVD",
            "address_2": "100",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163852",
            "telephone_number": "310-877-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MENTAL HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-29",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A",
        "authorized_official_last_name": "EHSAN",
        "authorized_official_first_name": "FARZANEH",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "310-877-0600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY,D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY28121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Evan Adler, OTR/L
• Philip Adler, PSYD
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• Clinical Psychologist in Encino, CA
• Providers in Encino, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.