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MISS MARYAM BOROUJERDI-RAD
NPI 1891986329
Counselor - Mental Health in Irvine, CA

Active since August 08, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating

NPPES record last updated: August 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Miss Maryam Boroujerdi-rad NPPES

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

MISS MARYAM BOROUJERDI-RAD (NPI 1891986329) is an individual mental health provider in Irvine, California and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1891986329
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMISS MARYAM BOROUJERDI-RAD
Location Address22 FOXCRESTIrvine, CA 92620-1290
Mailing Address22 FoxcrestIrvine, CA 92620-1290
Phone(714) 730-0623
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateAugust 8, 2007
✔ NPI 1891986329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
22 FOXCREST, Irvine, CA 92620
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Maryam Boroujerdi-rad 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 ID3678838083
PECOS Enrollment IDI20220603002030
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.

Medicare Billing Reassignment

Medicare enrollment records show Maryam Boroujerdi-rad reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Coastal Psychological Services, Inc.
7.6 mi
Clinical
1400 QUAIL ST STE 136
Newport Beach, CA 92660
  • Reassigned Medicare billing, California enrollment
  • 10 clinicians in this Medicare group
NPI 1588161384 (949) 385-2775

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
1,133 services141 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
335 services67 patients
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.
324 services38 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
135 services47 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
70 services70 patients
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.
56 services17 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95
Improvement Activities40

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 Maryam Boroujerdi-rad's NPI number?

The NPI number for Maryam Boroujerdi-rad is 1891986329. It was assigned to this individual provider in the NPPES registry on August 8, 2007.

Where is Maryam Boroujerdi-rad located?

Maryam Boroujerdi-rad practices at 22 Foxcrest, Irvine, CA 92620. The listed phone number is (714) 730-0623.

What is Maryam Boroujerdi-rad's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Maryam Boroujerdi-rad enrolled in Medicare?

Yes. Maryam Boroujerdi-rad is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Maryam Boroujerdi-rad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maryam Boroujerdi-rad reassigns Medicare benefits to Coastal Psychological Services, Inc. (Newport Beach, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maryam Boroujerdi-rad's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Maryam Boroujerdi-rad was last updated on August 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.