MS. SOODABEH KHOSROPUR AMFT
NPI 1285380212
Marriage & Family Therapist in Burbank, CA
About Ms. Soodabeh Khosropur Amft NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. SOODABEH KHOSROPUR AMFT (NPI 1285380212) is an individual marriage & family therapist in Burbank, California, licensed in California (130170) and active in the NPI registry since February 2022. She has opted out of Medicare through April 24, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Ms. Soodabeh Khosropur Amft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 24, 2024 through April 24, 2028.
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.
BURBANK, CA 91505
BURBANK, CA 91505
BURBANK, CA 91505
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 Soodabeh Khosropur's NPI number?
The NPI number for Soodabeh Khosropur is 1285380212. It was assigned to this individual provider in the NPPES registry on February 28, 2022.
Where is Soodabeh Khosropur located?
Soodabeh Khosropur practices at 3808 W Riverside Dr, Burbank, CA 91505. The listed phone number is (323) 270-7834.
What is Soodabeh Khosropur's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Soodabeh Khosropur enrolled in Medicare?
No. Soodabeh Khosropur has opted out of Medicare through April 24, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Soodabeh Khosropur was last updated on February 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Ms. Soodabeh Khosropur, AMFT · NPI 1285380212
Marriage & Family Therapist provider in Burbank, California. Individual provider, active in the CMS NPPES registry since February 28, 2022.
## Identity
- **NPI:** 1285380212 (Entity type: Individual)
- **Enumerated:** February 28, 2022
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 130170 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 3808 W RIVERSIDE DR, Burbank, CA 91505-4325
- **Phone:** (323) 270-7834
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through April 24, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** February 28, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1285380212) · Data from the CMS NPPES public registry.