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DR. AMIR MAHDAVI PH.D.
NPI 1396057550
Psychologist - Clinical in Sherman Oaks, CA

Active since July 04, 2010PECOS Enrolled
15456 VENTURA BLVD STE 500, SHERMAN OAKS, CA 91403(818) 917-7773 Get Directions Write a Review

NPPES record last updated: April 7, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Amir Mahdavi Ph.d. NPPES

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

DR. AMIR MAHDAVI PH.D. (NPI 1396057550) is an individual clinical provider in Sherman Oaks, California, licensed in California (PSY30512) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396057550
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. AMIR MAHDAVICredential: PH.D.
Location Address15456 VENTURA BLVD STE 500Sherman Oaks, CA 91403-3023
Mailing AddressPo Box 4403West Hills, CA 91308-4403 · (818) 917-7773
Phone(818) 917-7773
Sole ProprietorYes
Enumeration DateJuly 4, 2010
Last NPPES UpdateApril 7, 2021
NPPES CertifiedApril 7, 2021
✔ NPI 1396057550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in CA · PSY30512✔ Licensed in NY · 020974
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.
15456 VENTURA BLVD STE 500, Sherman Oaks, CA 91403
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Other Identifiers 1

MedicaidCB322340CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Amir Mahdavi Ph.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.

Medicare Billing Reassignment

Medicare enrollment records show Amir Mahdavi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Brighter Future Psychological Services Inc
Same address
Psychologist
15456 VENTURA BLVD STE 500
Sherman Oaks, CA 91403
  • Reassigned Medicare billing, California enrollment
NPI 1972118974 (818) 917-7773

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 91403 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIGHTER FUTURE PSYCHOLOGICAL SERVICES INC
Psychologist
15456 VENTURA BLVD STE 500
SHERMAN OAKS, CA 91403
Los Angeles County (818) 917-7773

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 Amir Mahdavi's NPI number?

The NPI number for Amir Mahdavi is 1396057550. It was assigned to this individual provider in the NPPES registry on July 4, 2010.

Where is Amir Mahdavi located?

Amir Mahdavi practices at 15456 Ventura Blvd Ste 500, Sherman Oaks, CA 91403. The listed phone number is (818) 917-7773.

What is Amir Mahdavi's specialty?

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

Is Amir Mahdavi enrolled in Medicare?

Yes. Amir Mahdavi is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amir Mahdavi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amir Mahdavi reassigns Medicare benefits to Brighter Future Psychological Services Inc (Sherman Oaks, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amir Mahdavi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amir Mahdavi was last updated on April 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.