MASOUMEH NOURSHAHI
NPI 1205357456
Psychologist - Clinical in Simi Valley, CA

Q: What is Masoumeh Nourshahi's NPI number?

The NPI number for Masoumeh Nourshahi is 1205357456. It was assigned to this individual provider in the NPPES registry on June 28, 2017.

Q: What is Masoumeh Nourshahi's specialty?

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

Active since June 28, 2017PECOS Enrolled

1227 E LOS ANGELES AVE, SIMI VALLEY, CA 93065(805) 582-4075(805) 582-4075 Get Directions Write a Review

NPPES record last updated: August 14, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 14, 2023, Oct 20, 2020, Nov 3, 2017 and 1 more (4 updates tracked since 2017).

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About Masoumeh Nourshahi NPPES

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

MASOUMEH NOURSHAHI (NPI 1205357456) is an individual clinical provider in Simi Valley, California, licensed in California (PSY34234) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205357456

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameMASOUMEH NOURSHAHI

Location Address1227 E LOS ANGELES AVESimi Valley, CA 93065-2871

Mailing Address324 S Beverly Dr Ste 1057Beverly Hills, CA 90212-4822 · (747) 302-1198

Phone(805) 582-4075

Fax(805) 582-4075

Sole ProprietorYes

Enumeration DateJune 28, 2017

Last NPPES UpdateAugust 14, 20234 updates tracked since enumeration

NPPES CertifiedAugust 12, 2023

✔ NPI 1205357456 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 · PSY34234

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.

1227 E LOS ANGELES AVE, Simi Valley, CA 93065

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Masoumeh Nourshahi 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 Masoumeh Nourshahi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC

274 mi

Mental Health

99 S ALMADEN BLVD STE 600
San Jose, CA 95113

Reassigned Medicare billing, California enrollment
3,139 clinicians in this Medicare group

NPI 1154994846 (408) 402-4385

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93065 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

$185.36 typical visit price

range $62.32 – $185.36

Typical copayment $46.34 (range $15.58 – $46.34)

Most-billed visit code 99205

Established Patient

$108.74 typical visit price

range $20.68 – $151.85

Typical copayment $27.18 (range $5.17 – $37.96)

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.

FANG ZHANG RN

Registered Nurse (Psychiatric/Mental Health, Adult)