Assadollah Shafaghi, PSY.D

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1333 Willow Pass Rd # Set102
Concord, CA 94520-7930

Phone

(707) 648-8121

Fax

(707) 648-8129

NPI assigned

Aug 9, 2011

Last updated

Feb 6, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517875200000",
    "number": "1932488905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 WILLOW PASS RD # SET102",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945207930",
            "telephone_number": "925-825-1795",
            "fax_number": "925-825-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 WILLOW PASS RD # SET102",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945207930",
            "telephone_number": "707-648-8121",
            "fax_number": "707-648-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFAGHI",
        "first_name": "ASSADOLLAH",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-09",
        "last_updated": "2018-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jakeisha A Shabazz
• Farkhanda Shabir
• Ashlei Shackelford
• Danielle B Shackleford
• Shadi Ryad DDS Inc.
• Sara Shafi
• Sonja Shafiei
• Prachi Shah
• Christina Shaheen
• Saniya Shaik

• Student in an Organized Health Care Education/Training Program in Concord, CA
• Providers in Concord, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.