Active NPI
Lamees Khorshid, PSYD, BCB
- Clinical Psychologist
- Santa Monica, CA
National Provider Identifier
1992966154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 28123
- Practice address
- 617 Ocean Ave
Santa Monica, CA 90402-2612 - Phone
- (310) 403-7444
- NPI assigned
- Jun 20, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 28123 | CA | Primary |
| Health Psychologist | 103TH0004X | 28123 | CA |
Addresses
Primary practice location
617 Ocean Ave
Santa Monica, CA 90402-2612
Mailing address
617 Ocean Ave
Santa Monica, CA 90402-2612
Phone (310) 403-7444
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28123 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726617600000",
"number": "1992966154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "617 OCEAN AVE",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904022612",
"telephone_number": "310-403-7444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 OCEAN AVE",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904022612",
"telephone_number": "310-403-7444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHORSHID",
"first_name": "LAMEES",
"name_prefix": "Dr.",
"credential": "PSYD, BCB",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-20",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "28123",
"primary": true
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "CA",
"license": "28123",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.