Organization Active NPI

Rahbar Psychology Services Inc

  • Clinical Psychologist
  • Lake Forest, CA
National Provider Identifier
1962375352
Registry record updated Sep 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
RAHBAR PSYCHOLOGY SERVICES INC
Practice address
570 Escenico
Lake Forest, CA 92630-8914
Phone
(858) 481-8827
NPI assigned
Sep 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2025

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

Authorized official

Name
Roudabeh RahbarNPI 1174677629
Title
PSYD
Phone
(858) 481-8827

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

570 Escenico
Lake Forest, CA 92630-8914

Mailing address

1061 Rancho Santa
Margarita, CA 92688
Phone (858) 481-8827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250925004949 CA Part B Supplier - Clinic/Group Practice 5395240709 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Forest, CA

National Provider Directory

National Provider Directory
Tax ID family
Rahbar Psychology Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1962375352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 RANCHO SANTA",
            "city": "MARGARITA",
            "state": "CA",
            "postal_code": "92688",
            "telephone_number": "858-481-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 ESCENICO",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308914",
            "telephone_number": "858-481-8827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAHBAR PSYCHOLOGY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-09",
        "status": "A",
        "authorized_official_last_name": "RAHBAR",
        "authorized_official_first_name": "ROUDABEH",
        "authorized_official_title_or_position": "PSYD",
        "authorized_official_telephone_number": "858-481-8827"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.