Individual provider Active NPI

Shahdokht S Toomari, PSYD

  • Clinical Psychologist
  • Beverly Hills, CA
National Provider Identifier
1922367929
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY23664 Issued in CA
Practice address
9107 Wilshire Blvd Ste 200
Beverly Hills, CA 90210-5522
Phone
(310) 279-2878
Fax
(310) 570-2249
NPI assigned
May 10, 2012
Last updated
Jun 23, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY23664 CA Primary

Addresses

Primary practice location

9107 Wilshire Blvd Ste 200
Beverly Hills, CA 90210-5522

Mailing address

9107 Wilshire Blvd Ste 200
Beverly Hills, CA 90210-5522
Phone (310) 279-2878

Other identifiers 1

IdentifierTypeStateIssuer
PSY23664OtherCACA STATE LICENCE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140718002218 CA Practitioner - Clinical Psychologist 8921223686 Reassigns benefits to 1 organization
Practice locations: Beverly Hills, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8665 Wilshire Blvd
Suite 407
Beverly Hills, CA 90211-2933
Phone (310) 279-2878

8671 Wilshire Blvd
Suite 611
Beverly Hills, CA 90211-2913

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY23664CAMDClinical Psychologist
23664CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
BH Therapy Corp. CurrentSince Sep 1, 2017 Accepting new patients
Neuropsychology Consultants, Inc CurrentSince Jan 1, 2016 Accepting new patients
The Radiance of Hope Counseling Center Past Accepting new patients

Locations

8665 Wilshire Blvd
Ste 407
Beverly Hills, CA 90211
Phone (310) 228-8821

9107 Wilshire Blvd
Ste 200
Beverly Hills, CA 90210
Phone (310) 276-4003

8635 W 3rd St
Ste 1065W
Los Angeles, CA 90048
Phone (310) 360-0331

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403481600000",
    "number": "1922367929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9107 WILSHIRE BLVD STE 200",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105522",
            "telephone_number": "310-279-2878",
            "fax_number": "310-570-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9107 WILSHIRE BLVD STE 200",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105522",
            "telephone_number": "310-279-2878",
            "fax_number": "310-570-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOOMARI",
        "first_name": "SHAHDOKHT",
        "middle_name": "S",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-10",
        "last_updated": "2014-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY23664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE LICENCE",
            "identifier": "PSY23664",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.