Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. FARRAH R MIRZAEE ED.D
NPI 1922402957
Psychologist in Los Angeles, CA

Active since October 20, 2014PECOS Enrolled
4859 W SLAUSON AVE # 680, LOS ANGELES, CA 90056(424) 261-6113 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 24, 2026, Jul 21, 2024, Nov 17, 2016 (3 updates tracked since 2016).

About Dr. Farrah R Mirzaee Ed.d NPPES

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

DR. FARRAH R MIRZAEE ED.D (NPI 1922402957) is an individual psychologist in Los Angeles, California, licensed in California (PSY30773) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922402957
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. FARRAH R MIRZAEECredential: ED.D
Location Address4859 W SLAUSON AVE # 680Los Angeles, CA 90056-1290
Mailing Address4859 W Slauson Ave # 680Los Angeles, CA 90056-1290 · (424) 261-6113
Sole ProprietorNo
Enumeration DateOctober 20, 2014
Last NPPES UpdateAugust 24, 20263 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
NPI 1922402957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY30773
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
4859 W SLAUSON AVE # 680, Los Angeles, CA 90056

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Farrah R Mirzaee Ed.d 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 Farrah Mirzaee's NPI number?

The NPI number for Farrah Mirzaee is 1922402957. It was assigned to this individual provider in the NPPES registry on October 20, 2014.

Where is Farrah Mirzaee located?

Farrah Mirzaee practices at 4859 W Slauson Ave # 680, Los Angeles, CA 90056. The listed phone number is (424) 261-6113.

What is Farrah Mirzaee's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Farrah Mirzaee enrolled in Medicare?

Yes. Farrah Mirzaee is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Farrah Mirzaee was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.