TANDIS KAYE POURBASTANI
NPI 1598356586
Counselor - Mental Health in San Andreas, CA
Active since February 01, 2021
About Tandis Kaye Pourbastani NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TANDIS KAYE POURBASTANI (NPI 1598356586) is an individual mental health provider in San Andreas, California, licensed in California (103662) and active in the NPI registry since February 2021.
NPPES Registry Identity
NPI1598356586
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTANDIS KAYE POURBASTANI
Location Address564 MOUNTAIN RANCH RDSan Andreas, CA 95249-9782
Mailing Address564 Mountain Ranch RdSan Andreas, CA 95249-9782 · (209) 498-2227
Phone(209) 498-2227
Sole ProprietorNo
Enumeration DateFebruary 1, 2021
Last NPPES UpdateOctober 4, 20212 updates tracked since enumeration
NPPES CertifiedOctober 4, 2021
✔ NPI 1598356586 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 103662
564 MOUNTAIN RANCH RD, San Andreas, CA 95249
Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1598356586, enumerated as an "individual" on February 01, 2021.
The provider is located at 564 MOUNTAIN RANCH RD SAN ANDREAS, CA 95249 and the phone number is (209) 498-2227.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
