DEANNA TAVAKOLY
NPI 1326697004
Marriage & Family Therapist in Santa Monica, CA

Active since September 05, 2019Opted out of Medicare · through May 2, 2027
2716 OCEAN PARK BLVD STE 3075, SANTA MONICA, CA 90405(310) 612-2998 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 5, 2024, Jan 27, 2020, Sep 5, 2019 (3 updates tracked since 2019).

About Deanna Tavakoly NPPES

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

DEANNA TAVAKOLY (NPI 1326697004) is an individual marriage & family therapist in Santa Monica, California, licensed in California (128223) and active in the NPI registry since September 2019. She has opted out of Medicare through May 2, 2027.

NPPES Registry Identity

NPI1326697004
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameDEANNA TAVAKOLY
Location Address2716 OCEAN PARK BLVD STE 3075Santa Monica, CA 90405-5232
Mailing Address2716 Ocean Park Blvd Ste 3075Santa Monica, CA 90405-5232
Sole ProprietorNo
Enumeration DateSeptember 5, 2019
Last NPPES UpdateAugust 5, 20243 updates tracked since enumeration
NPPES CertifiedAugust 5, 2024
NPI 1326697004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · 128223
Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

2716 OCEAN PARK BLVD STE 3075, Santa Monica, CA 90405

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Deanna Tavakoly 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 May 2, 2025 through May 2, 2027.

Opt-Out Effective DateMay 2, 2025
Opt-Out In Effect ThroughMay 2, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

Marriage & Family Therapist
2716 OCEAN PARK BLVD STE 3075
SANTA MONICA, CA 90405
Marriage & Family Therapist
2716 OCEAN PARK BLVD STE 3075
SANTA MONICA, CA 90405
Marriage & Family Therapist
2716 OCEAN PARK BLVD STE 3075
SANTA MONICA, CA 90405
Social Worker (Clinical)
2716 OCEAN PARK BLVD STE 3075
SANTA MONICA, CA 90405
Marriage & Family Therapist
2716 OCEAN PARK BLVD STE 3075
SANTA MONICA, CA 90405
Counselor (Mental Health)
2716 OCEAN PARK BLVD STE 3075
SANTA MONICA, CA 90405
Marriage & Family Therapist
2716 OCEAN PARK BLVD STE 3075
SANTA MONICA, CA 90405
Marriage & Family Therapist
2716 OCEAN PARK BLVD STE 3075
SANTA MONICA, CA 90405

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 Deanna Tavakoly's NPI number?

The NPI number for Deanna Tavakoly is 1326697004. It was assigned to this individual provider in the NPPES registry on September 5, 2019.

Where is Deanna Tavakoly located?

Deanna Tavakoly practices at 2716 Ocean Park Blvd Ste 3075, Santa Monica, CA 90405. The listed phone number is (310) 612-2998.

What is Deanna Tavakoly's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Deanna Tavakoly enrolled in Medicare?

No. Deanna Tavakoly has opted out of Medicare through May 2, 2027. 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 Deanna Tavakoly was last updated on August 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.