Nazanin Niki Mostadim, PSYCHOLOGICAL ASSIST

Primary specialty

Intellectual & Developmental Disabilities PsychologistTaxonomy code 103TM1800X

License

PSB94022464 Issued in CA

Practice address

16946 Sherman Way
Van Nuys, CA 91406-3613

Phone

(818) 633-2505

NPI assigned

Sep 28, 2018

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538092800000",
    "number": "1922583541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16946 SHERMAN WAY",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063613",
            "telephone_number": "818-633-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16946 SHERMAN WAY",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063613",
            "telephone_number": "818-633-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSTADIM",
        "first_name": "NAZANIN",
        "middle_name": "NIKI",
        "name_prefix": "Dr.",
        "credential": "PSYCHOLOGICAL ASSIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-28",
        "last_updated": "2018-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "CA",
            "license": "PSB94022464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dan Moses, LMT
• Diana Moskovyan
• Diego Alberto Mosquera, REGISTERED
• Michael Moss
• Thomas Joseph Moss, M.D.
• Bijan Motamedi, M.D.
• Kevin Neil Mottus, LCSW
• Lia Moua
• Zoly Moua
• Meghrik Moughalian

• Intellectual & Developmental Disabilities Psychologist in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Intellectual & Developmental Disabilities Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2018; 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.