DR. MARYAM TAGHDIMI PHD
NPI 1447923693
Psychologist in Daly City, CA

Active since July 25, 2021
2001 JUNIPERO SERRA BLVD STE 650, DALY CITY, CA 94014(650) 646-5633 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 11, 2022, Aug 2, 2021, Jul 25, 2021 (3 updates tracked since 2021).

About Dr. Maryam Taghdimi Phd NPPES

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

DR. MARYAM TAGHDIMI PHD (NPI 1447923693) is an individual psychologist in Daly City, California, licensed in California (32683) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1447923693
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. MARYAM TAGHDIMICredential: PHD
Location Address2001 JUNIPERO SERRA BLVD STE 650Daly City, CA 94014-3897
Mailing Address2001 Junipero Serra Blvd Ste 650Daly City, CA 94014-3897 · (650) 754-5633
Sole ProprietorYes
Enumeration DateJuly 25, 2021
Last NPPES UpdateFebruary 11, 20223 updates tracked since enumeration
NPPES CertifiedAugust 2, 2021
✔ NPI 1447923693 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 CA · 32683
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.
2001 JUNIPERO SERRA BLVD STE 650, Daly City, CA 94014

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Maryam Taghdimi Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

2

Medicare enrollment records show Maryam Taghdimi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
2238 GEARY
San Francisco, CA 94116
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 17

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

Psychiatry & Neurology (Psychiatry)
2001 JUNIPERO SERRA BLVD STE 650
DALY CITY, CA 94014
Counselor (Professional)
2001 JUNIPERO SERRA BLVD STE 650
DALY CITY, CA 94014
Psychologist (Clinical Child & Adolescent)
2001 JUNIPERO SERRA BLVD STE 650, KAISER PERMANENTE SSF, DEPT. OF PSYCHIATRY
DALY CITY, CA 94014
Psychologist
2001 JUNIPERO SERRA BLVD STE 650
DALY CITY, CA 94014
Psychologist
2001 JUNIPERO SERRA BLVD STE 650
DALY CITY, CA 94014
Psychologist (Clinical)
2001 JUNIPERO SERRA BLVD STE 650
DALY CITY, CA 94014
Pharmacist
2001 JUNIPERO SERRA BLVD STE 650
DALY CITY, CA 94014
Social Worker (Clinical)
2001 JUNIPERO SERRA BLVD STE 650
DALY CITY, CA 94014

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 Maryam Taghdimi's NPI number?

The NPI number for Maryam Taghdimi is 1447923693. It was assigned to this individual provider in the NPPES registry on July 25, 2021.

Where is Maryam Taghdimi located?

Maryam Taghdimi practices at 2001 Junipero Serra Blvd Ste 650, Daly City, CA 94014. The listed phone number is (650) 646-5633.

What is Maryam Taghdimi's specialty?

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

Is Maryam Taghdimi enrolled in Medicare?

Yes. Maryam Taghdimi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Maryam Taghdimi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maryam Taghdimi reassigns Medicare benefits to 2 organizations: Permanente Medical Group Inc (San Francisco, CA) and Grow Healthcare Group PC (San Jose, CA). Each 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 Maryam Taghdimi'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 Maryam Taghdimi was last updated on February 11, 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.