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

Active since October 20, 2014PECOS Enrolled
5603 S CENTRAL AVE, LOS ANGELES, CA 90011(323) 377-9812 Get Directions Write a Review

NPPES record last updated: July 21, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2024, Nov 17, 2016 (2 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 and maintains a secondary practice location in Torrance.

NPPES Registry Identity

NPI1922402957
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. FARRAH R MIRZAEECredential: ED.D
Location Address5603 S CENTRAL AVELos Angeles, CA 90011-5967
Mailing Address5603 S Central AveLos Angeles, CA 90011-5967 · (323) 432-3700
Sole ProprietorNo
Enumeration DateOctober 20, 2014
Last NPPES UpdateJuly 21, 20242 updates tracked since enumeration
NPPES CertifiedJuly 21, 2024
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.
5603 S CENTRAL AVE, Los Angeles, CA 90011

Secondary Practice Location 1

Location 12790 Skypark Dr Ste 205Torrance, CA 90505-5345 · Phone (310) 855-3990 · Fax (424) 276-7676

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.

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.

Marriage & Family Therapist
5603 S CENTRAL AVE
LOS ANGELES, CA 90011
Social Worker
5603 S CENTRAL AVE
LOS ANGELES, CA 90011
Student in an Organized Health Care Education/Training Program
5603 S CENTRAL AVE
LOS ANGELES, CA 90011
Community Health Worker
5603 S CENTRAL AVE
LOS ANGELES, CA 90011
Case Manager/Care Coordinator
5603 S CENTRAL AVE
LOS ANGELES, CA 90011
Student in an Organized Health Care Education/Training Program
5603 S CENTRAL AVE
LOS ANGELES, CA 90011
Student in an Organized Health Care Education/Training Program
5603 S CENTRAL AVE
LOS ANGELES, CA 90011
Case Manager/Care Coordinator
5603 S CENTRAL AVE
LOS ANGELES, CA 90011

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 5603 S Central Ave, Los Angeles, CA 90011. The listed phone number is (323) 377-9812.

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 July 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.