MICHELLE MOHAMMADIAN
NPI 1053771295
Marriage & Family Therapist in Elk Grove, CA

Q: What is Michelle Mohammadian's NPI number?

The NPI number for Michelle Mohammadian is 1053771295. It was assigned to this individual provider in the NPPES registry on March 1, 2016.

Q: What is Michelle Mohammadian's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Michelle Mohammadian enrolled in Medicare?

No. Michelle Mohammadian has opted out of Medicare through May 7, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since March 01, 2016Opted out of Medicare · through May 7, 2028

8788 ELK GROVE BLVD STE D, ELK GROVE, CA 95624(916) 400-0505 Get Directions Write a Review

NPPES record last updated: November 8, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 8, 2021, Sep 2, 2020, Mar 1, 2016 (3 updates tracked since 2016).

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About Michelle Mohammadian NPPES

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

MICHELLE MOHAMMADIAN (NPI 1053771295) is an individual marriage & family therapist in Elk Grove, California and active in the NPI registry since March 2016. She has opted out of Medicare through May 7, 2028.

NPPES Registry Identity

NPI1053771295

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMICHELLE MOHAMMADIAN

Location Address8788 ELK GROVE BLVD STE DElk Grove, CA 95624-1767

Mailing Address3900 H St Apt 4Sacramento, CA 95819-2755 · (408) 373-4403

Phone(916) 400-0505

Sole ProprietorNo

Enumeration DateMarch 1, 2016

Last NPPES UpdateNovember 8, 20213 updates tracked since enumeration

NPPES CertifiedNovember 8, 2021

✔ NPI 1053771295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

8788 ELK GROVE BLVD STE D, Elk Grove, CA 95624

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Michelle Mohammadian has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 7, 2024 through May 7, 2028.

Opt-Out Effective DateMay 7, 2024

Opt-Out In Effect ThroughMay 7, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 5

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

WILLIAM T BURKS JR.

Student in an Organized Health Care Education/Training Program