NAZNEEN BAHRASSA PH.D.
NPI 1447674791
Psychologist in Santa Rosa, CA

Active since February 06, 2014Opted out of Medicare · through Jan 16, 2028
3841 BRICKWAY BLVD, SANTA ROSA, CA 95403(707) 569-2392 Get Directions Write a Review

NPPES record last updated: February 6, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nazneen Bahrassa Ph.d. NPPES

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

NAZNEEN BAHRASSA PH.D. (NPI 1447674791) is an individual psychologist in Santa Rosa, California, licensed in Hawaii (PSY - 1441) and active in the NPI registry since February 2014. She has opted out of Medicare through January 16, 2028.

NPPES Registry Identity

NPI1447674791
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameNAZNEEN BAHRASSACredential: PH.D.
Location Address3841 BRICKWAY BLVDSanta Rosa, CA 95403-8226
Mailing Address4150 Clement StSan Francisco, CA 94121-1545 · (707) 569-2392
Sole ProprietorNo
Enumeration DateFebruary 6, 2014
NPI 1447674791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in HI · PSY - 1441
Definition

A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

3841 BRICKWAY BLVD, Santa Rosa, CA 95403

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Nazneen Bahrassa Ph.d. 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 January 16, 2024 through January 16, 2028.

Opt-Out Effective DateJanuary 16, 2024
Opt-Out In Effect ThroughJanuary 16, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

Social Worker (Clinical)
3841 BRICKWAY BLVD
SANTA ROSA, CA 95403
Clinic/Center (VA)
3841 BRICKWAY BLVD
SANTA ROSA, CA 95403
Social Worker (Clinical)
3841 BRICKWAY BLVD
SANTA ROSA, CA 95403
Nurse Practitioner (Family)
3841 BRICKWAY BLVD
SANTA ROSA, CA 95403
Nurse Practitioner (Gerontology)
3841 BRICKWAY BLVD, HBPC, VA SAN FRANCISCO HEALTH CARE SYSTEM
SANTA ROSA, CA 95403
Physical Therapist
3841 BRICKWAY BLVD
SANTA ROSA, CA 95403
Audiologist
3841 BRICKWAY BLVD
SANTA ROSA, CA 95403
Social Worker (Clinical)
3841 BRICKWAY BLVD
SANTA ROSA, CA 95403

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 Nazneen Bahrassa's NPI number?

The NPI number for Nazneen Bahrassa is 1447674791. It was assigned to this individual provider in the NPPES registry on February 6, 2014.

Where is Nazneen Bahrassa located?

Nazneen Bahrassa practices at 3841 Brickway Blvd, Santa Rosa, CA 95403. The listed phone number is (707) 569-2392.

What is Nazneen Bahrassa's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Nazneen Bahrassa enrolled in Medicare?

No. Nazneen Bahrassa has opted out of Medicare through January 16, 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 Nazneen Bahrassa was last updated on February 6, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.