DEPTH PSYCHOTHERAPY CENTER A PROFESSIONAL PSYCHOLOGICAL CORPORA
NPI 1154638450
Psychologist - Clinical in Irvine, CA

Q: What is Depth Psychotherapy Center A Professional Psychological Corpora's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since September 08, 2010

4199 CAMPUS DR., SUITE 550, IRVINE, CA 92612(949) 422-4488(949) 640-2255 Get Directions Write a Review

NPPES record last updated: July 1, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 1, 2020, Jun 25, 2020 (2 updates tracked since 2020).

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About Depth Psychotherapy Center A Professional Psychological Corpora NPPES

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

DEPTH PSYCHOTHERAPY CENTER A PROFESSIONAL PSYCHOLOGICAL CORPORA (NPI 1154638450) is a healthcare organization registered as a clinical in Irvine, California and active in the NPI registry since September 2010. The organization lists Sherri Mahdavi, Owner, as its authorized official.

NPPES Registry Identity

NPI1154638450

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameDEPTH PSYCHOTHERAPY CENTER A PROFESSIONAL PSYCHOLOGICAL CORPORA

Location Address4199 CAMPUS DR., SUITE 550Irvine, CA 92612

Mailing Address750 Terrado Plz, Suite 40Covina, CA 91723 · (626) 332-0556

Phone(949) 422-4488

Fax(949) 640-2255

Organization SubpartNo

Authorized OfficialSherri MahdaviOwner · (949) 422-4488

Enumeration DateSeptember 8, 2010

Last NPPES UpdateJuly 1, 20202 updates tracked since enumeration

NPPES CertifiedJuly 1, 2020

✔ NPI 1154638450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · PSY21506

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

4199 CAMPUS DR., Irvine, CA 92612

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Depth Psychotherapy Center A Professional Psychological Corpora is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Depth Psychotherapy Center A Professional Psychological Corpora, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sherri Mahdavi, PH.D

Clinical Psychologist

NPI 1356575567

4199 CAMPUS DR STE E
Irvine, CA 92612

(949) 422-4488

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Depth Psychotherapy Center A Professional Psychological Corpora's NPI number?

The NPI number for Depth Psychotherapy Center A Professional Psychological Corpora is 1154638450. It was assigned to this organization in the NPPES registry on September 8, 2010.

Where is Depth Psychotherapy Center A Professional Psychological Corpora located?

Depth Psychotherapy Center A Professional Psychological Corpora is located at 4199 Campus Dr. Suite 550, Irvine, CA 92612. The listed phone number is (949) 422-4488.

What is Depth Psychotherapy Center A Professional Psychological Corpora's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Depth Psychotherapy Center A Professional Psychological Corpora enrolled in Medicare?

Yes. Depth Psychotherapy Center A Professional Psychological Corpora is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Depth Psychotherapy Center A Professional Psychological Corpora?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Depth Psychotherapy Center A Professional Psychological Corpora. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Depth Psychotherapy Center A Professional Psychological Corpora was last updated on July 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.