Neda Safvati, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY 25346 Issued in CA

Practice address

12522 Moorpark St Ste 106
Studio City, CA 91604-1355

Phone

(818) 661-6306

Fax

(818) 666-0221

NPI assigned

May 9, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Neda Safvati Wedel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tiny Steps Developmental Services, a Psychological Corporation

  • Clinical Psychologist
  • Valley Village, CA
  • NPI 1871941716
  NPD

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549843200000",
    "number": "1972770899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12522 MOORPARK ST STE 106",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916041355",
            "telephone_number": "818-661-6306",
            "fax_number": "818-666-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12522 MOORPARK ST STE 106",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916041355",
            "telephone_number": "818-661-6306",
            "fax_number": "818-666-0221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12626 Riverside Dr Ste 303",
            "address_purpose": "LOCATION",
            "city": "Valley Village",
            "state": "CA",
            "postal_code": "916073476",
            "country_code": "US",
            "telephone_number": "424-209-7787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAFVATI",
        "first_name": "NEDA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-09",
        "last_updated": "2019-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 25346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1855VDEM",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NEDA",
            "last_name": "WEDEL",
            "middle_name": "SAFVATI",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Psychologist in Studio City, CA
• Providers in Studio City, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2019; 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.