Farrah R Mirzaee, ED.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY30773 Issued in CA

Practice address

4859 W Slauson Ave # 680
Los Angeles, CA 90056-1290

Phone

(424) 261-6113

NPI assigned

Oct 20, 2014

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Special Service for Groups, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cerritos, CA
  • NPI 1235260365
  NPD
• Special Service for Groups, Inc.

  • Clinic/Center
  • Los Angeles, CA
  • NPI 1891826947
  NPD
• Special Service for Groups, Inc.

  • Voluntary or Charitable Agency
  • Los Angeles, CA
  • NPI 1952442949
  NPD
• Special Service for Groups, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Los Angeles, CA
  • NPI 1982735932
  NPD
• Accent on Wellness Psychology Associates, Inc.

  • Clinical Psychologist
  • Torrance, CA
  • NPI 1265941165
  NPD (past)

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1922402957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4859 W SLAUSON AVE # 680",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900561290",
            "telephone_number": "424-261-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4859 W SLAUSON AVE # 680",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900561290",
            "telephone_number": "424-261-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZAEE",
        "first_name": "FARRAH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "ED.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-20",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY30773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carley Brand Mirvis
• Ammar Mirza
• Minnaal N/a Mirza, MD
• Mohammad Ali Mirza
• Qasim Mohammad Mirza, M.D.
• Christine Bottrell Mirzaian, M.D.
• Edith Mirzaian, PHARM.D.
• Mirzayan Dental Inc
• Armen Mirzayan
• Araxi Mirzoyan Kalach, DMD

• Psychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.