Maryam Boroujerdi-Rad

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

22 Foxcrest
Irvine, CA 92620-1290

Phone

(714) 730-0623

NPI assigned

Aug 8, 2007

Sex

Female

Sole proprietor

No

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

Enrolled in CA

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.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coastal Psychological Services, Inc.Group PAC ID 2769747179, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

98.29 of 100Reported as group

Quality

90

Improvement activities

40

Cost

74.31

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coastal Psychological Services, Inc.

  • Clinical Psychologist
  • Newport Beach, CA
  • NPI 1588161384
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186531200000",
    "number": "1891986329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 FOXCREST",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926201290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 FOXCREST",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926201290",
            "telephone_number": "714-730-0623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOROUJERDI-RAD",
        "first_name": "MARYAM",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-08",
        "last_updated": "2007-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eduardo Borja
• Cristen Bornancini
• Azra Borogovac, M.D.
• Marielle Borom, DO
• Nazli Boroshan, LCSW
• Vanessa Borroel
• Bosda Group Inc
• Brad Boskie, PHARMD
• Katie Elizabeth Boss, DPT
• Boston Medical Technologies , Inc.

• Mental Health Counselor in Irvine, CA
• Providers in Irvine, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; 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.

Verify at the official NPI Registry.