Mahvash Alami-Rad, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY19728 Issued in CA

Practice address

16496 Bernardo Center Dr Ste 307
San Diego, CA 92128-2524

Phone

(760) 224-4422

Fax

(858) 649-6490

NPI assigned

Oct 31, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Shelley Chernoff Kramer, PH.D., Inc., Clinical Psychology

  • Clinical Psychologist
  • Oceanside, CA
  • NPI 1174643035
  NPD (past)

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1962588921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17892 CABELA DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921271045",
            "telephone_number": "760-224-4422",
            "fax_number": "858-649-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16496 BERNARDO CENTER DR STE 307",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282524",
            "telephone_number": "760-224-4422",
            "fax_number": "858-649-6490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAMI-RAD",
        "first_name": "MAHVASH",
        "name_prefix": "Mrs.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-31",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 19728",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY19728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "189751",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Al Alam, M.D.
• Ireem Alam, CRNP
• Mohammad Monjurul Alam, MD
• Coleman Alameda
• Jazlyn Dessa Alameda
• Breanna Alamillo
• Gabino Manuel Alamo
• Chloe Alamos
• Alan C. Westeren, M.D., Inc.
• Alanya Vaene Lee, Clinical Psychologist Inc.

• Clinical Psychologist in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.