Active NPI
Nassim Moalemi Takahashi, BCBA
- Behavior Analyst
- San Diego, CA
National Provider Identifier
1942769401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 1-20-42432
- Practice address
- 4775 Long Branch Ave
San Diego, CA 92107-2214 - Phone
- (714) 595-7455
- NPI assigned
- Mar 14, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | 1-20-42432 | TX | Primary |
Addresses
Primary practice location
4775 Long Branch Ave
San Diego, CA 92107-2214
Mailing address
4775 Long Branch Ave
San Diego, CA 92107-2214
Phone (714) 595-7455
Other practice location 1
7447 Cambridge St Apt 47
Houston, TX 77054-2027
Phone (713) 859-6709
Other practice location 2
140 S Flower St Ste 100
Orange, CA 92868-3467
Phone (714) 683-5876
Other practice location 3
6508 Highway 90A
Sugar Land, TX 77498-2012
Phone (713) 388-6446
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3430 | Other | TX | LICENSED BEHAVIOR ANALYST |
Other names 1
- Nassim Morgan Moalemi
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roger Williams Academy | Behavior Analyst | Current | Accepting new patients |
| Action Behavior Centers Therapy LLC | Behavior Analyst | Past | Accepting new patients |
| Action Behavior Centers LLC | Behavior Analyst | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Adolescent and Children Mental Health Clinic/Center
- Houston, TX
- NPI 1497400287
Behavior Analyst
-
- Behavior Analyst
- Highlands Ranch, CO
- NPI 1982293957
-
- Behavior Analyst
- Austin, TX
- NPI 1699475509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1942769401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4775 LONG BRANCH AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921072214",
"telephone_number": "714-595-7455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4775 LONG BRANCH AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921072214",
"telephone_number": "714-595-7455"
}
],
"practiceLocations": [
{
"address_1": "7447 Cambridge St Apt 47",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770542027",
"country_code": "US",
"telephone_number": "713-859-6709",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "140 S Flower St Ste 100",
"address_purpose": "LOCATION",
"city": "Orange",
"state": "CA",
"postal_code": "928683467",
"country_code": "US",
"telephone_number": "714-683-5876",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6508 Highway 90A",
"address_purpose": "LOCATION",
"city": "Sugar Land",
"state": "TX",
"postal_code": "774982012",
"country_code": "US",
"telephone_number": "713-388-6446",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAKAHASHI",
"first_name": "NASSIM",
"middle_name": "MOALEMI",
"credential": "BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-14",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "TX",
"license": "1-20-42432",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED BEHAVIOR ANALYST",
"identifier": "3430",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "NASSIM",
"last_name": "MOALEMI",
"middle_name": "MORGAN",
"credential": "BCBA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.