Depth Psychotherapy Center A Professional Psychological Corpora
NPI 1154638450ActiveOrganization· Psychologist, Clinical· Irvine, CA
Psychologist, Clinical in Irvine, California, registered in NPPES in September 2010. The authorized official on file is Sherri Mahdavi, PHD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1154638450 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 8, 2010 |
| Last updated in NPPES | Jul 1, 2020 |
| Certified by provider | Jul 1, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PSY21506 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
Other clinical psychologists in Irvine
- 1013837988
- 1043355902
- 1053904771
- 1063633204
- 1063757011
- 1093182255
- 1093856361
- 1104039122
- 1124184163
- 1144894114
- 1164945002
- 1174945554
All 170 clinical psychologists in Irvine · All clinical psychologists in California