AZADEH FAMILI (NPI# 1639429996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639429996 |
| Entity Type | Individual |
| Full Name | AZADEH FAMILI |
| Credential | PH.D. |
| Practice Address |
150 E Meda Ave Ste 110 Glendora CA 91741-2607 |
| Practice Telephone | 6262533149 |
| Practice Fax Number | 6268579092 |
| Mailing Telephone | 6262533149 |
| Mailing Fax Number | 6268579092 |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2012-09-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
PSY16456 | CA | Behavioral Health & Social Service Providers |
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PSY16456 | CA | Behavioral Health & Social Service Providers |
| N | 103TF0200X |
Psychologist Specialization: Forensic |
PSY16456 | CA | Behavioral Health & Social Service Providers |
| Street Address |
150 E MEDA AVE STE 110 |
| City | GLENDORA |
| State | CA |
| Zip Code | 91741-2607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437170560 | Angela Donahue | Psychologist | 150 E Meda Ave Ste 110, Glendora, CA 91741-2607 | 2006-07-22 |
| 1992158489 | Laura Christine Lapointe | Marriage & Family Therapist | 150 E Meda Ave Ste 110, Glendora, CA 91741-2607 | 2016-07-20 |
| 1245522812 | Mary Lee Nambu | Marriage & Family Therapist | 150 E Meda Ave Ste 110, Glendora, CA 91741-2607 | 2011-05-13 |
| 1629109079 | David B Hickel | Psychologist | 150 E Meda Ave Ste 110, Glendora, CA 91741-2607 | 2007-03-08 |
| 1831200708 | Sheila Garrett Gutierrez | Marriage & Family Therapist | 150 E Meda Ave Ste 110, Glendora, CA 91741-2607 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083244016 | Monica Keo | Psychiatry & Neurology | 501 South Grand Avenue, #200, Glendora, CA 91741 | 2020-01-17 |
| 1871144816 | Djpnicolas, LLC | Clinic/Center | 144 N. Grand Avenue, Glendora, CA 91741 | 2019-09-20 |
| 1518517192 | Ashlyn Kate Cherry | Social Worker | 916 W. Danton Drive, Glendora, CA 91741 | 2019-09-16 |
| 1497284889 | Maged Guirguis | Private Vehicle | 1262 E Ada Ave, Glendora, CA 91741 | 2017-06-08 |
| 1952793200 | Dignity Transportation Service Inc | Private Vehicle | 255 S Glendora Ave #1613, Glendora, CA 91741 | 2015-02-24 |
| 1437568029 | Arakelyan Aznavour Dental Corporation | Dentist | 175 N Pennsylvania Ave #3, Glendora, CA 91741 | 2014-08-07 |
| 1528481223 | Lucinda Lorraine Schoenick | Nurse Practitioner | 250 S. Grand Ave, Glendora, CA 91741 | 2014-01-31 |
| 1073837548 | Advanced Dental Smiles | Dentist | 455 W. Foothill Blvd, Glendora, CA 91741 | 2010-03-26 |
| 1346404621 | Amee Brown | Occupational Therapist | 401 W. Ada Ave., Glendora, CA 91741 | 2008-07-15 |
| 1356539183 | Orthopaedic Medical Group | Specialist | 412 W Carroll St, Ste 107, Glendora, CA 91741 | 2007-10-05 |
| Find all providers in zip 91741 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746650 | Alexandria Marie Schick | Psychologist | 2785 Cold Springs Rd Apt 31, Placerville, CA 95667-3240 | 2020-10-08 |
| 1841804853 | Nia Mayers Franklin | Psychologist | 8940 S Hobart Blvd, Los Angeles, CA 90047-3615 | 2020-09-08 |
| 1871104307 | Erania Marie Martin-lang | Psychologist | 13329 Arbor Park Ln, Moreno Valley, CA 92553-6916 | 2020-08-10 |
| 1366051070 | Shellie Renae Higuera | Psychologist | 5059 Day Dr, Fairfield, CA 94533-6597 | 2020-07-28 |
| 1730706979 | Oak Forest Recovery Center, Inc. | Psychologist | 5655 Lindero Canyon Rd Ste 425, Westlake Village, CA 91362-4046 | 2020-07-04 |
| 1861016842 | Valley Harvest Church of Merced | Psychologist | 557 W 26th St, Merced, CA 95340-2825 | 2020-06-04 |
| 1629691993 | Franklin Clifford Wimberly | Psychologist | 10 Pleasant Walk, Aliso Viejo, CA 92656-4266 | 2020-05-21 |
| 1790325694 | Pacific Forensic Psychology Associates, Inc | Psychologist | 19230 Sonoma Highway, Building 200, Sonoma, CA 95476 | 2020-01-09 |
| 1386282762 | Danielle Wischenka | Psychologist | 155 E Campbell Ave Ste 219, Campbell, CA 95008-2062 | 2019-12-16 |
| 1528525326 | Sylvia Cary | Psychologist | 4650 Sepulveda Blvd Apt 201, Sherman Oaks, CA 91403-2462 | 2019-02-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.