DR. KIYANOOSH SHAMLOU


Address: 4199 Campus Dr, Suite 550, Irvine, CA 92612-4684
Phone: 7145855380

DR. KIYANOOSH SHAMLOU (NPI# 1083036537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1083036537
Entity Type Individual
Full Name DR. KIYANOOSH SHAMLOU
Credential PHD
Practice Address 4199 Campus Dr
Suite 550
Irvine
CA 92612-4684
Practice Telephone 7145855380
Mailing Telephone 7145855380
Enumeration Date 2014-01-16
Last Update Date 2020-03-25
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
PSY26074 CA Behavioral Health & Social Service Providers
N 103TC1900X Psychologist
Specialization: Counseling
PSY26074 CA Behavioral Health & Social Service Providers
N 103TF0000X Psychologist
Specialization: Family
PSY26074 CA Behavioral Health & Social Service Providers
N 103TP2701X Psychologist
Specialization: Group Psychotherapy
PSY 26074 CA Behavioral Health & Social Service Providers

Office Location

Street Address 4199 CAMPUS DR
SUITE 550
City IRVINE
State CA
Zip Code 92612-4684

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811938541 Kamel Louis Kamel Psychiatry & Neurology 4199 Campus Dr, #550, Irvine, CA 92612-4684 2006-06-10
1508320516 Dena Amiri Marriage & Family Therapist 4199 Campus Dr, Irvine, CA 92612-4684 2019-01-23
1356877948 Omid Multicultural Institute for Development Health Maintenance Organization 4199 Campus Dr, Suite 300, Irvine, CA 92612-4684 2017-05-03
1891233813 Tsai-ling Fraher Marriage & Family Therapist 4199 Campus Dr, Irvine, CA 92612-4684 2017-02-09
1619415635 Sara Nowparast Marriage & Family Therapist 4199 Campus Dr, Irvine, CA 92612-4684 2017-02-09
1346787389 Deke Marcus Psychologist 4199 Campus Dr, Suite 500, Irvine, CA 92612-4684 2017-01-29
1922540194 Ramona Raquel Rodriguez Perez Marriage & Family Therapist 4199 Campus Dr, Irvine, CA 92612-4684 2016-11-04
1235681206 Sanaz Motamedi Marriage & Family Therapist 4199 Campus Dr, Suite 550, Irvine, CA 92612-4684 2016-10-26
1760933873 Carina Biddle Marriage & Family Therapist 4199 Campus Dr, Suite 300, Irvine, CA 92612-4684 2016-10-24
1508215898 Sepideh Bakhiari Marriage & Family Therapist 4199 Campus Dr, 550, Irvine, CA 92612-4684 2016-06-07
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1598220535 Dorise Hebenstreit Marriage & Family Therapist 2151 Michelson Dr Ste 286, Irvine, CA 92612 2019-02-04
1871033365 Livhome, Inc. In Home Supportive Care 19762 Macarhtur Blvd, Suite 120, Irvine, CA 92612 2017-03-02
1073061511 Susan Nguyen Marriage & Family Therapist 2081 Business Center Dr Ste 109, Irvine, CA 92612 2016-09-13
1043617574 Jason Polhamus Community Health Worker 4885 Royce Rd, Irivne, CA 92612 2014-11-26
1013313386 Marisa Lepore Marriage & Family Therapist 19742 Centerpointe Plaza, Suite #125, Irvine, CA 92612 2014-11-13
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225659618 Gauri Saxena Psychologist 242 Dewdrop, Irvine, CA 92603-0650 2020-04-27
1083198162 Kyle Kermott Psychologist 18010 Sky Park Cir Ste 290, Irvine, CA 92614-6487 2018-09-24
1245713163 Saimir Thano Psychologist 203 Student Services I, Irvine, CA 92697-0001 2018-09-07
1730525536 Shirin Ansari Psychologist 16220 Scientific, Irvine, CA 92618-4349 2013-05-20
1831474345 Elham Shoja Psychologist 8 Corporate Park Suite 300, Irvine, CA 92606 2011-10-15
1538448345 Connie Joo Won Psychologist 19712 Macarthur Blvd Ste 110, Irvine, CA 92612-2407 2011-08-10
1366734477 Yoon Shim Lee Psychologist 4605 Barranca Pkwy Ste 101d, Irvine, CA 92604-1726 2011-05-07
1770884470 James Shafer Ph.d. A Psychological Corp. Psychologist 6 Venture Ste 350, Irvine, CA 92618-7350 2010-11-11
1588971741 Erica Lehman Psychologist 15615 Alton Parkway, Suite 230, Irvine, CA 92618-7306 2010-09-09
1285834424 Tracy A Williamson Psychologist 300 Spectrum Dr., Irvine, CA 92618 2007-07-24
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Competitor

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City IRVINE
Zip Code 92612

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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