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DR. BANAFSHEH PEZESHK PSY.D.
NPI 1184959009
Psychologist - Clinical in Poway, CA

Active since October 09, 2009PECOS Enrolled
15525 POMERADO RD, SUITE B3, POWAY, CA 92064(760) 607-6463(760) 607-3433 Get Directions Write a Review

NPPES record last updated: January 10, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 10, 2017, Feb 1, 2016 (2 updates tracked since 2016).

About Dr. Banafsheh Pezeshk Psy.d. NPPES

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

DR. BANAFSHEH PEZESHK PSY.D. (NPI 1184959009) is an individual clinical provider in Poway, California, licensed in California (22843) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184959009
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. BANAFSHEH PEZESHKCredential: PSY.D.
Location Address15525 POMERADO RD, SUITE B3Poway, CA 92064-2435
Mailing Address15525 Pomerado Rd, Suite B3Poway, CA 92064-2435 · (760) 607-6463 · Fax (760) 607-3433
Phone(760) 607-6463
Fax(760) 607-3433
Sole ProprietorYes
Enumeration DateOctober 9, 2009
Last NPPES UpdateJanuary 10, 20172 updates tracked since enumeration
✔ NPI 1184959009 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 · 22843
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.
15525 POMERADO RD, Poway, CA 92064
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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. Banafsheh Pezeshk 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92064 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$184.71 typical visit price
range $62.10 – $184.71
Typical copayment $46.17 (range $15.52 – $46.17)
Most-billed visit code 99205
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

PHILIP GREGORY BOHART M.D
Orthopaedic Surgery
15525 POMERADO RD, SUITE A-1
POWAY, CA 92064
San Diego County (858) 485-0050
DR. JOSHUA MICHAEL HARRIS HALL M.D., PH.D.
Psychiatry & Neurology (Psychiatry)
15525 POMERADO RD, SUITE E-3
POWAY, CA 92064
San Diego County (858) 592-6644
DR. DEBRA JOAN ABEL AU.D.
Audiologist
15525 POMERADO RD, E-1
POWAY, CA 92064
San Diego County (858) 618-1249
YUAN WANG ACUPUNCTURIST
Acupuncturist
15525 POMERADO RD, SUITE E-4
POWAY, CA 92064
San Diego County (858) 829-9485
DR. GEORGE B SACHS MD
Otolaryngology
15525 POMERADO RD
POWAY, CA 92064
San Diego County (858) 485-7870
SAN DIEGO PSYCHOLOGICAL CENTER INC.
Psychologist
15525 POMERADO RD, SUITE B3
POWAY, CA 92064
San Diego County (760) 607-6463
GEORGE B. SACHS M.D. A MEDICAL CORPORATION
Otolaryngology
15525 POMERADO RD, SUITE E1
POWAY, CA 92064
San Diego County (858) 705-1366
MR. THOMAS L DE WILDT LCSW
Social Worker (Clinical)
15525 POMERADO RD, SUITE A-7
POWAY, CA 92064
San Diego County (858) 279-1223

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 Banafsheh Pezeshk's NPI number?

The NPI number for Banafsheh Pezeshk is 1184959009. It was assigned to this individual provider in the NPPES registry on October 9, 2009.

Where is Banafsheh Pezeshk located?

Banafsheh Pezeshk practices at 15525 Pomerado Rd Suite B3, Poway, CA 92064. The listed phone number is (760) 607-6463.

What is Banafsheh Pezeshk's specialty?

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

Is Banafsheh Pezeshk enrolled in Medicare?

Yes. Banafsheh Pezeshk is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Banafsheh Pezeshk was last updated on January 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.