DR. KIYANA KIANFAR-JAGODA LMFT, PSY.D - NPI 1134542822 - Marriage & Family Therapist in Poway, CA

Q: What is Kiyana Kianfar-jagoda's NPI number?

The NPI number for Kiyana Kianfar-jagoda is 1134542822. It was assigned to this individual provider in the NPPES registry on January 30, 2014. The provider is also known as Dr. Kiyana Kianfar-Jagoda Lmft, Psy.D.

Q: What is Kiyana Kianfar-jagoda's specialty?

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

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About Dr. Kiyana Kianfar-jagoda Lmft, Psy.d NPPES

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

DR. KIYANA KIANFAR-JAGODA LMFT, PSY.D (NPI 1134542822) is an individual marriage & family therapist in Poway, California, licensed in California (103278) and active in the NPI registry since January 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134542822

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameDR. KIYANA KIANFAR-JAGODACredential: LMFT, PSY.D

Location Address15611 POMERADO RD STE 535Poway, CA 92064-2413

Mailing Address15611 Pomerado Rd Ste 535Poway, CA 92064-2413

Phone(858) 279-1223

Sole ProprietorYes

Enumeration DateJanuary 30, 2014

Last NPPES UpdateOctober 30, 20242 updates tracked since enumeration

NPPES CertifiedOctober 30, 2024

✔ NPI 1134542822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 103278

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.

15611 POMERADO RD STE 535, Poway, CA 92064

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Other Names 1

Professional Name (2)Dr. Kiyana Kianfar-jagoda Lmft, Psy.d

Other Identifiers 1

Other1134542822CA · Mental Health Clinician

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. Kiyana Kianfar-jagoda Lmft, Psy.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 16

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

JESSICA WALLACE

Marriage & Family Therapist