Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AZADEH KHAMOOSHI PSYD
NPI 1629717277
Psychologist in Santa Clarita, CA

Active since June 01, 2022PECOS Enrolled
17702 SIERRA HWY, SANTA CLARITA, CA 91351(888) 770-5222 Get Directions Write a Review

NPPES record last updated: July 28, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Azadeh Khamooshi Psyd NPPES

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

AZADEH KHAMOOSHI PSYD (NPI 1629717277) is an individual psychologist in Santa Clarita, California, licensed in California (94028153) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629717277
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameAZADEH KHAMOOSHICredential: PSYD
Location Address17702 SIERRA HWYSanta Clarita, CA 91351-1635
Mailing Address4445 Eastgate Mall # 2073San Diego, CA 92121-1979 · (619) 212-0856
Sole ProprietorYes
Enumeration DateJune 1, 2022
Last NPPES UpdateJuly 28, 2026
NPPES CertifiedJuly 28, 2026
NPI 1629717277 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 · 94028153
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.
17702 SIERRA HWY, Santa Clarita, CA 91351

Other Names 1

Professional Name (2)Ava Khamooshi Dr.

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Azadeh Khamooshi Psyd 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.

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.

Student in an Organized Health Care Education/Training Program
17702 SIERRA HWY
SANTA CLARITA, CA 91351
Psychologist
17702 SIERRA HWY
SANTA CLARITA, CA 91351
Psychologist (Clinical)
17702 SIERRA HWY
SANTA CLARITA, CA 91351
Psychologist (Clinical)
17702 SIERRA HWY
SANTA CLARITA, CA 91351
Psychologist (Counseling)
17702 SIERRA HWY
SANTA CLARITA, CA 91351
Psychologist (Clinical)
17702 SIERRA HWY
SANTA CLARITA, CA 91351
Behavior Technician
17702 SIERRA HWY
SANTA CLARITA, CA 91351
Community/Behavioral Health
17702 SIERRA HWY
SANTA CLARITA, CA 91351

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 Azadeh Khamooshi's NPI number?

The NPI number for Azadeh Khamooshi is 1629717277. It was assigned to this individual provider in the NPPES registry on June 1, 2022. The provider is also known as Ava Khamooshi Dr..

Where is Azadeh Khamooshi located?

Azadeh Khamooshi practices at 17702 Sierra Hwy, Santa Clarita, CA 91351. The listed phone number is (888) 770-5222.

What is Azadeh Khamooshi's specialty?

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

Is Azadeh Khamooshi enrolled in Medicare?

Yes. Azadeh Khamooshi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Azadeh Khamooshi was last updated on July 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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.