Individual provider Active NPI

Ahmad Vahedian, PH.D., QME, AME

  • Forensic Psychologist
  • Ventura, CA
National Provider Identifier
1902940273
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Forensic PsychologistTaxonomy code 103TF0200X
License
PSY15184 Issued in CA
Practice address
1575 Spinnaker Dr
Ste 201
Ventura, CA 93001-4381
Phone
(805) 218-8308
NPI assigned
Feb 19, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PSY15184 CA
Forensic Psychologist 103TF0200X PSY15184 CA Primary

Addresses

Primary practice location

1575 Spinnaker Dr
Ste 201
Ventura, CA 93001-4381

Mailing address

1575 Spinnaker Dr
Ste 201
Ventura, CA 93001-4381
Phone (805) 218-8308

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

LicenseStateTypeSpecialty
PSY15184CAMDForensic Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1902940273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 SPINNAKER DR",
            "address_2": "STE 201",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930014381",
            "telephone_number": "805-218-8308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 SPINNAKER DR",
            "address_2": "STE 201",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930014381",
            "telephone_number": "805-218-8308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAHEDIAN",
        "first_name": "AHMAD",
        "credential": "PH.D., QME, AME",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY15184",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "CA",
            "license": "PSY15184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.