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SHADI BAHADORI RAD
NPI 1689247819
Counselor in Irvine, CA

Active since July 24, 2021PECOS Enrolled
1115 SULLIVAN, IRVINE, CA 92614(310) 351-9504 Get Directions Write a Review

NPPES record last updated: July 24, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shadi Bahadori Rad NPPES

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

SHADI BAHADORI RAD (NPI 1689247819) is an individual counselor in Irvine, California and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689247819
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSHADI BAHADORI RAD
Location Address1115 SULLIVANIrvine, CA 92614-4249
Mailing Address1115 SullivanIrvine, CA 92614-4249 · (310) 351-9504
Phone(310) 351-9504
Sole ProprietorNo
Enumeration DateJuly 24, 2021
NPPES CertifiedJuly 24, 2021
✔ NPI 1689247819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1115 SULLIVAN, Irvine, CA 92614
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shadi Bahadori Rad 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.

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 Shadi Bahadori Rad's NPI number?

The NPI number for Shadi Bahadori Rad is 1689247819. It was assigned to this individual provider in the NPPES registry on July 24, 2021.

Where is Shadi Bahadori Rad located?

Shadi Bahadori Rad practices at 1115 Sullivan, Irvine, CA 92614. The listed phone number is (310) 351-9504.

What is Shadi Bahadori Rad's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Shadi Bahadori Rad enrolled in Medicare?

Yes. Shadi Bahadori Rad is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shadi Bahadori Rad was last updated on July 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.