MEDISA PAYVARPOUR
NPI 1386876241
Psychologist - Clinical in Concord, CA

Q: What is Medisa Payvarpour's NPI number?

The NPI number for Medisa Payvarpour is 1386876241. It was assigned to this individual provider in the NPPES registry on August 11, 2009.

Q: What is Medisa Payvarpour's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Medisa Payvarpour was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.

Active since August 11, 2009

1333 WILLOW PASS RD STE 102, PORTIA BELL HUME BEHAVIORAL HEALTH AND TRAINING CENTER, CONCORD, CA 94520(925) 825-7094 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2020, Nov 22, 2019 (2 updates tracked since 2019).

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About Medisa Payvarpour NPPES

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

MEDISA PAYVARPOUR (NPI 1386876241) is an individual clinical provider in Concord, California, licensed in California (31271) and active in the NPI registry since August 2009. She maintains a secondary practice location in Berkeley.

NPPES Registry Identity

NPI1386876241

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameMEDISA PAYVARPOUR

Location Address1333 WILLOW PASS RD STE 102, PORTIA BELL HUME BEHAVIORAL HEALTH AND TRAINING CENTERConcord, CA 94520-5225

Mailing Address2640 Mlk Jr WayBerkeley, CA 94704-3238 · (510) 745-9152

Phone(925) 825-7094

Sole ProprietorNo

Enumeration DateAugust 11, 2009

Last NPPES UpdateOctober 22, 20252 updates tracked since enumeration

NPPES CertifiedOctober 22, 2025

✔ NPI 1386876241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 31271

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1333 WILLOW PASS RD STE 102, Concord, CA 94520

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Secondary Practice Location 1

Location 12640 Mlk Jr WayBerkeley, CA 94704-3238 · Phone (510) 981-5280

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

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.

PAIGE NAYLOR PHD

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