DR. FARNAZ KHODADOOST-DEHGHI PH.D.
NPI 1053336982
Psychologist in Fullerton, CA

Active since July 13, 2006PECOS Enrolled
1370 BREA BLVD STE 210, FULLERTON, CA 92835(714) 653-8805 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dr. Farnaz Khodadoost-dehghi Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. FARNAZ KHODADOOST-DEHGHI PH.D. (NPI 1053336982) is an individual psychologist in Fullerton, California, licensed in California (PSY17403) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1053336982
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. FARNAZ KHODADOOST-DEHGHICredential: PH.D.
Location Address1370 BREA BLVD STE 210Fullerton, CA 92835-4128
Mailing Address1370 Brea Blvd Ste 210Fullerton, CA 92835-4128 · (714) 653-8805
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateJuly 13, 2006
Last NPPES UpdateApril 20, 2026
NPPES CertifiedApril 20, 2026
NPI 1053336982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY17403
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1370 BREA BLVD STE 210, Fullerton, CA 92835

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Farnaz Khodadoost-dehghi Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7618446980
PECOS Enrollment IDI20260603003244
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
1370 BREA BLVD STE 210
FULLERTON, CA 92835
Psychologist (Clinical)
1370 BREA BLVD STE 210
FULLERTON, CA 92835
Clinic/Center (Adolescent and Children Mental Health)
1370 BREA BLVD STE 210
FULLERTON, CA 92835
Psychologist (Clinical)
1370 BREA BLVD STE 210
FULLERTON, CA 92835
Psychologist (Cognitive & Behavioral)
1370 BREA BLVD STE 210
FULLERTON, CA 92835
Marriage & Family Therapist
1370 BREA BLVD STE 210
FULLERTON, CA 92835
Health and Wellness Coach
1370 BREA BLVD STE 210
FULLERTON, CA 92835
Psychologist
1370 BREA BLVD STE 210
FULLERTON, CA 92835

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Farnaz Khodadoost-dehghi's NPI number?

The NPI number for Farnaz Khodadoost-dehghi is 1053336982. It was assigned to this individual provider in the NPPES registry on July 13, 2006.

Where is Farnaz Khodadoost-dehghi located?

Farnaz Khodadoost-dehghi practices at 1370 Brea Blvd Ste 210, Fullerton, CA 92835. The listed phone number is (714) 653-8805.

What is Farnaz Khodadoost-dehghi's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Farnaz Khodadoost-dehghi enrolled in Medicare?

Yes. Farnaz Khodadoost-dehghi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Farnaz Khodadoost-dehghi was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.