DR. PARDIS KHOSRAVI PSYD
NPI 1679821383
Psychologist - Clinical in San Carlos, CA

Q: What is Pardis Khosravi's NPI number?

The NPI number for Pardis Khosravi is 1679821383. It was assigned to this individual provider in the NPPES registry on August 28, 2012.

Q: What is Pardis Khosravi'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 Pardis Khosravi was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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 August 28, 2012

1303 SAN CARLOS AVE, SAN CARLOS, CA 94070(650) 394-5155 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 3, 2026, Jul 12, 2022, Aug 22, 2019 and 2 more (5 updates tracked since 2018).

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About Dr. Pardis Khosravi Psyd NPPES

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

DR. PARDIS KHOSRAVI PSYD (NPI 1679821383) is an individual clinical provider in San Carlos, California, licensed in California (31264) and active in the NPI registry since August 2012.

NPPES Registry Identity

NPI1679821383

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. PARDIS KHOSRAVICredential: PSYD

Location Address1303 SAN CARLOS AVESan Carlos, CA 94070-2317

Mailing Address1303 San Carlos AveSan Carlos, CA 94070-2317 · (650) 394-5155

Phone(650) 394-5155

Sole ProprietorNo

Enumeration DateAugust 28, 2012

Last NPPES UpdateApril 3, 20265 updates tracked since enumeration

NPPES CertifiedApril 3, 2026

✔ NPI 1679821383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 31264

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.

1303 SAN CARLOS AVE, San Carlos, CA 94070

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Other Providers at the Same Location NPPES 20

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

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