DR. SHAYAN RAD PSY.D.
NPI 1770946402
Psychologist - Clinical in Glendale, CA

Q: What is Shayan Rad's NPI number?

The NPI number for Shayan Rad is 1770946402. It was assigned to this individual provider in the NPPES registry on March 31, 2016.

Q: What is Shayan Rad'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 Shayan Rad was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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 March 31, 2016PECOS EnrolledAccepts Medicare Assignment

1560 E CHEVY CHASE DR STE 130, GLENDALE, CA 91206(818) 240-0340 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 25, 2025, Mar 31, 2016 (2 updates tracked since 2016).

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About Dr. Shayan Rad Psy.d. NPPES

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

DR. SHAYAN RAD PSY.D. (NPI 1770946402) is an individual clinical provider in Glendale, California, licensed in California (33289) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Glendale, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1770946402

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. SHAYAN RADCredential: PSY.D.

Location Address1560 E CHEVY CHASE DR STE 130Glendale, CA 91206-4140

Mailing Address1560 E Chevy Chase Dr Ste 130Glendale, CA 91206-4140 · (818) 240-0340

Phone(818) 240-0340

Sole ProprietorYes

Medical School CMSOtherGraduated 2014

Enumeration DateMarch 31, 2016

Last NPPES UpdateFebruary 25, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 25, 2025

✔ NPI 1770946402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 33289

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 ListedPsychologistTaxonomy 103T00000X · License 33289 (CA)

1560 E CHEVY CHASE DR STE 130, Glendale, CA 91206

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Secondary Practice Location 1

Location 11314 W Glenoaks Blvd, STE 205Glendale, CA 91201-1978 · Phone (818) 658-5502 · Fax (818) 751-5171

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shayan Rad Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567982952

PECOS Enrollment IDI20250228002442

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91206 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$187.60 typical visit price

range $62.96 – $187.60

Typical copayment $46.90 (range $15.74 – $46.90)

Most-billed visit code 99205

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JOHNNY LEE MITCHELL JR. LCSW

Social Worker (Clinical)