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DR. HEIDAR A. MODARESI PHD
NPI 1619920980
Psychologist - Clinical in Rock Hill, SC

Active since May 18, 2006
3060 WIMBLEDON LN, ROCK HILL, SC 29732(803) 366-9791(803) 753-9522 Get Directions Write a Review

NPPES record last updated: September 2, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Heidar A. Modaresi Phd NPPES

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

DR. HEIDAR A. MODARESI PHD (NPI 1619920980) is an individual clinical provider in Rock Hill, South Carolina, licensed in South Carolina (0575) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1619920980
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. HEIDAR A. MODARESICredential: PHD
Location Address3060 WIMBLEDON LNRock Hill, SC 29732-9249
Mailing Address3060 Wimbledon LnRock Hill, SC 29732-9249 · (803) 366-9791 · Fax (803) 753-9522
Phone(803) 366-9791
Fax(803) 753-9522
Sole ProprietorYes
Enumeration DateMay 18, 2006
Last NPPES UpdateSeptember 2, 2010
✔ NPI 1619920980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in SC · 0575✔ Licensed in NC · 1973
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 ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 1973 (NC), 0575 (SC)
Also ListedPsychologistTaxonomy 103T00000X · License 0575 (SC), 1973 (NC)
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X · License 0575 (SC), 1973 (NC)
3060 WIMBLEDON LN, Rock Hill, SC 29732
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Other Identifiers 2

MedicaidPS0221SC
Medicare ID-Type UnspecifiedQ311380281SC

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 Heidar Modaresi's NPI number?

The NPI number for Heidar Modaresi is 1619920980. It was assigned to this individual provider in the NPPES registry on May 18, 2006.

Where is Heidar Modaresi located?

Heidar Modaresi practices at 3060 Wimbledon Ln, Rock Hill, SC 29732. The listed phone number is (803) 366-9791.

What is Heidar Modaresi's specialty?

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

When was this NPI record last updated?

The NPPES record for Heidar Modaresi was last updated on September 2, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.