DR. SEPIDEH A SOURIS PSY.D.
NPI 1518406875
Psychologist - Clinical in Woodland Hills, CA

Q: What is Sepideh Souris's NPI number?

The NPI number for Sepideh Souris is 1518406875. It was assigned to this individual provider in the NPPES registry on February 20, 2017.

Q: What is Sepideh Souris'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 Sepideh Souris was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since February 20, 2017PECOS Enrolled

21243 VENTURA BLVD STE 107, WOODLAND HILLS, CA 91364(310) 993-3620(747) 300-9246 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jun 11, 2019, Feb 20, 2017 (2 updates tracked since 2017).

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About Dr. Sepideh A Souris Psy.d. NPPES

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

DR. SEPIDEH A SOURIS PSY.D. (NPI 1518406875) is an individual clinical provider in Woodland Hills, California, licensed in California (PSY14946) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518406875

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. SEPIDEH A SOURISCredential: PSY.D.

Location Address21243 VENTURA BLVD STE 107Woodland Hills, CA 91364-2123

Mailing Address21243 Ventura Blvd Ste 107Woodland Hills, CA 91364-2123 · (310) 993-3620 · Fax (747) 300-9246

Phone(310) 993-3620

Fax(747) 300-9246

Sole ProprietorYes

Enumeration DateFebruary 20, 2017

Last NPPES UpdateJune 11, 20192 updates tracked since enumeration

✔ NPI 1518406875 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 · PSY14946

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 ListedPsychologistTaxonomy 103T00000X · License 14946 (CA)

21243 VENTURA BLVD STE 107, Woodland Hills, CA 91364

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Other Identifiers 1

Other14946CA · Professional License

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sepideh A Souris Psy.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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91364 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.

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 Sepideh Souris's NPI number?

The NPI number for Sepideh Souris is 1518406875. It was assigned to this individual provider in the NPPES registry on February 20, 2017.

Where is Sepideh Souris located?

Sepideh Souris practices at 21243 Ventura Blvd Ste 107, Woodland Hills, CA 91364. The listed phone number is (310) 993-3620.

What is Sepideh Souris's specialty?

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

Is Sepideh Souris enrolled in Medicare?

Yes. Sepideh Souris is registered in the Medicare PECOS enrollment system.

What insurance does Sepideh Souris accept?

Health plans from Providence Health Plan list Sepideh Souris as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sepideh Souris was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.