Organization Active NPI

Azadeh Rahimi, PH.D. Psychology Inc.

  • Community/Behavioral Health Agency
  • Sherman Oaks, CA
National Provider Identifier
1962770859
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
PSY15484 Issued in CA
Legal business name
AZADEH RAHIMI, PH.D. PSYCHOLOGY INC.
Practice address
15233 Ventura Blvd Ste 1202
Sherman Oaks, CA 91403-2267
Phone
(818) 907-5251
NPI assigned
Dec 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Authorized official

Name
Dr. Azadeh Rahimi, PH.D.NPI 1841414125
Title
C.E.O.
Phone
(818) 907-5251

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
Community/Behavioral Health Agency 251S00000X PSY15484 CA Primary

Addresses

Primary practice location

15233 Ventura Blvd Ste 1202
Sherman Oaks, CA 91403-2267

Mailing address

15233 Ventura Blvd Ste 1202
Sherman Oaks, CA 91403-2267
Phone (818) 907-5251

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120502000114 CA Part B Supplier - Clinic/Group Practice 6901068345 Receives reassigned benefits from 1 practitioner
Practice locations: Sherman Oaks, CA

National Provider Directory

National Provider Directory

Locations

15233 Ventura Blvd
Ste 1202
Sherman Oaks, CA 91403
Phone (818) 907-5251

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": "1323129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1962770859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15233 VENTURA BLVD STE 1202",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032267",
            "telephone_number": "818-907-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15233 VENTURA BLVD STE 1202",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032267",
            "telephone_number": "818-907-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AZADEH RAHIMI, PH.D. PSYCHOLOGY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-06",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "RAHIMI",
        "authorized_official_first_name": "AZADEH",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "818-907-5251",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "PSY15484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.