DR. MARJAN DAVOUDI PSY.D.
NPI 1174575245
Psychologist in San Diego, CA

Active since May 17, 2006PECOS Enrolled
3111 CAMINO DEL RIO N STE 400, SAN DIEGO, CA 92108(858) 205-5486 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Marjan Davoudi Psy.d. NPPES

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

DR. MARJAN DAVOUDI PSY.D. (NPI 1174575245) is an individual psychologist in San Diego, California, licensed in California (23317) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174575245
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. MARJAN DAVOUDICredential: PSY.D.
Location Address3111 CAMINO DEL RIO N STE 400San Diego, CA 92108-5724
Mailing AddressPo Box 2585La Jolla, CA 92038-2585 · (858) 205-5486
Sole ProprietorNo
Enumeration DateMay 17, 2006
Last NPPES UpdateMay 9, 2023
NPPES CertifiedMay 9, 2023
✔ NPI 1174575245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Licenses✔ Licensed in CA · 23317✔ Licensed in IL · 071006979
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.
3111 CAMINO DEL RIO N STE 400, San Diego, CA 92108

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Marjan Davoudi 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.

Medicare Billing Reassignment

Medicare enrollment records show Marjan Davoudi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
3111 CAMINO DEL RIO N STE 400
San Diego, CA 92108
  • Reassigned Medicare billing, California enrollment

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

Other Providers at the Same Location NPPES 20

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

Behavior Technician
3111 CAMINO DEL RIO N STE 400
SAN DIEGO, CA 92108
Behavior Technician
3111 CAMINO DEL RIO N STE 400
SAN DIEGO, CA 92108
Behavior Technician
3111 CAMINO DEL RIO N STE 400
SAN DIEGO, CA 92108
Behavior Technician
3111 CAMINO DEL RIO N STE 400
SAN DIEGO, CA 92108
Behavior Technician
3111 CAMINO DEL RIO N STE 400
SAN DIEGO, CA 92108
Behavior Technician
3111 CAMINO DEL RIO N STE 400
SAN DIEGO, CA 92108
Behavior Technician
3111 CAMINO DEL RIO N STE 400
SAN DIEGO, CA 92108
Behavior Technician
3111 CAMINO DEL RIO N STE 400
SAN DIEGO, CA 92108

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 Marjan Davoudi's NPI number?

The NPI number for Marjan Davoudi is 1174575245. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Marjan Davoudi located?

Marjan Davoudi practices at 3111 Camino Del Rio N Ste 400, San Diego, CA 92108. The listed phone number is (858) 205-5486.

What is Marjan Davoudi's specialty?

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

Is Marjan Davoudi enrolled in Medicare?

Yes. Marjan Davoudi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Marjan Davoudi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marjan Davoudi reassigns Medicare benefits to Behavioral Mental Health PC (San Diego, CA). The 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 Marjan Davoudi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marjan Davoudi accept?

Health plans from Cigna HealthCare of Arizona, Inc list Marjan Davoudi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marjan Davoudi was last updated on May 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.