DR. NATASHA SHOLOM KHAZANOV PH.D.
NPI 1790719755
Psychologist - Clinical in San Francisco, CA

Q: What is Natasha Khazanov's NPI number?

The NPI number for Natasha Khazanov is 1790719755. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Q: What is Natasha Khazanov'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 Natasha Khazanov was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment

529 IRVING ST, SAN FRANCISCO, CA 94122(415) 665-4490(415) 665-4490 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Natasha Sholom Khazanov Ph.d. NPPES

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

DR. NATASHA SHOLOM KHAZANOV PH.D. (NPI 1790719755) is an individual clinical provider in San Francisco, California, licensed in California (PSY14917) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1790719755

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. NATASHA SHOLOM KHAZANOVCredential: PH.D.

Location Address529 IRVING STSan Francisco, CA 94122-2599

Mailing Address198 Miraloma DrSan Francisco, CA 94127-1643 · (415) 665-4490 · Fax (415) 665-4490

Phone(415) 665-4490

Fax(415) 665-4490

Sole ProprietorYes

Medical School CMSOtherGraduated 1988

Enumeration DateJuly 10, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1790719755 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 · PSY14917

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.

529 IRVING ST, San Francisco, CA 94122

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Other Identifiers 2

Medicare ID-Type UnspecifiedOPL149170CA

Medicare UPINS36778CA

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. Natasha Sholom Khazanov Ph.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 ID4183777584

PECOS Enrollment IDI20090803000406

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

434 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94122 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

$202.35 typical visit price

range $69.00 – $202.35

Typical copayment $50.58 (range $17.25 – $50.58)

Most-billed visit code 99205

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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 7

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

MS. SUSAN BERNADETTE MOORE MFT

Marriage & Family Therapist