DR. YASAMIN FARHAD (NPI# 1326378738) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326378738 |
| Entity Type | Individual |
| Full Name | DR. YASAMIN FARHAD |
| Other Name | DR. YASAMIN FARHAD |
| Credential | LMFT, PHD |
| Practice Address |
2601 E Chapman Ave Ste 111 Fullerton CA 92831-3737 |
| Practice Telephone | 9492936249 |
| Mailing Telephone | 9492936249 |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2020-02-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | 81557 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 12787872 | 01 | |
| CA | MEDI-CAL | 1327270 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2601 E Chapman Ave, 102, Fullerton, CA 928313737 | 9492936249 | |
| 12062 Valley View St Ste 129, Garden Grove, CA 928451741 | 9492936249 | |
| 270 Penmar Ave, La Habra, CA 906316822 | 9492936249 | |
| 501 S Idaho St Ste 330, La Habra, CA 906316598 | 9492936249 |
| Street Address |
2601 E CHAPMAN AVE STE 111 |
| City | FULLERTON |
| State | CA |
| Zip Code | 92831-3737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455645 | Maria Guadalupe Gonzalez | Social Worker | 2601 E Chapman Ave Ste 111, Fullerton, CA 92831-3737 | 2020-10-19 |
| 1801429477 | Stephanie Gast | Marriage & Family Therapist | 2601 E Chapman Ave Ste 111, Fullerton, CA 92831-3737 | 2020-02-21 |
| 1215585898 | Maria Linda Valencia | Counselor | 2601 E Chapman Ave Ste 111, Fullerton, CA 92831-3737 | 2019-08-28 |
| 1063070266 | Alexandra Krasieva Dvornikova | Counselor | 2601 E Chapman Ave Ste 111, Fullerton, CA 92831-3737 | 2019-06-03 |
| 1023675576 | Angga Rahadyan | Marriage & Family Therapist | 2601 E Chapman Ave Ste 111, Fullerton, CA 92831-3737 | 2019-05-21 |
| 1184181786 | Congruent Lives Inc | Marriage & Family Therapist | 2601 E Chapman Ave Ste 111, Fullerton, CA 92831-3737 | 2019-03-01 |
| 1861956898 | Clarice Irene Stout | Marriage & Family Therapist | 2601 E Chapman Ave Ste 111, Fullerton, CA 92831-3737 | 2019-01-23 |
| 1366912404 | Brittany Webb | Marriage & Family Therapist | 2601 E Chapman Ave Ste 111, Fullerton, CA 92831-3737 | 2018-12-02 |
| 1457821522 | Jordan Davis | Marriage & Family Therapist | 2601 E Chapman Ave Ste 111, Fullerton, CA 92831-3737 | 2018-11-30 |
| 1881185502 | Irma Fragoso | Marriage & Family Therapist | 2601 E Chapman Ave Ste 111, Fullerton, CA 92831-3737 | 2018-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982169280 | Jennifer Ann Carroll | Counselor | 2246 N. State College Blvd, Fullerton, CA 92831 | 2019-01-31 |
| 1043733736 | Jimmy K Bhatt | Dentist | 1126 E Commonweath Ave, Fullerton, CA 92831 | 2017-07-25 |
| 1447625090 | Kairos Management | Assisted Living Facility | 1621 E. Chapman Ave, Fullerton, CA 92831 | 2015-12-08 |
| 1407251630 | Sam's West, Inc | Technician/Technologist | 601 S Placentia Ave, Fullerton, CA 92831 | 2014-10-30 |
| 1114361813 | Teresa Kyu Thin Khoo | Internal Medicine | 1907 Deerpark Dr Apt 546, Fullerton, CA 92831 | 2013-04-24 |
| 1699020586 | Julia A Bock | Occupational Therapy Assistant | 1240 N Frances Avenue, Fullerton, CA 92831 | 2012-07-17 |
| 1649566225 | The Center for The Treatment of Addiction | Preferred Provider Organization | 104 N. Raymond Ave., A-2, Fullerton, CA 92831 | 2011-06-22 |
| 1366746877 | Leticia Vallejo | Rehabilitation Practitioner | 801 E.chapman Ave, Fullerton, CA 92831 | 2010-12-28 |
| 1083916860 | Angelica Victoria Norman | Counselor | 801 East Chapman Suite 203, Fullerton, CA 92831 | 2010-11-30 |
| 1457683237 | The Paradise | Home Delivered Meals | 659 S Sate College Blvd., Ste. 51, Fullerton, CA 92831 | 2010-02-04 |
| Find all providers in zip 92831 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992302814 | Sheena Gill | Psychologist | 2501 E Chapman Ave Ste 265, Fullerton, CA 92831-3108 | 2020-10-04 |
| 1366000143 | Wel-mor Psychology Group, Inc | Psychologist | 1440 N Harbor Blvd Ste 725, Fullerton, CA 92835-4170 | 2019-06-05 |
| 1134636327 | Michelle Harriman, Psychologist - A Professional Corporation | Psychologist | 1440 N Harbor Blvd Ste 808, Fullerton, CA 92835 | 2018-01-09 |
| 1639693971 | Jack Gershfeld | Psychologist | 2246 N State College Blvd, Fullerton, CA 92831-1361 | 2017-07-28 |
| 1750656815 | Michael A Moradshahi | Psychologist | 1942 Deerpark Dr, Apartiment 103, Fullerton, CA 92831-1525 | 2012-03-21 |
| 1124204920 | Robert L Whitcomb | Psychologist | 213 N Pomona Ave, Fullerton, CA 92832-1926 | 2008-01-11 |
| 1841474822 | North Orange County Sleep Clinic Medical Group Inc | Psychologist | 1915 Sunnycrest Dr, Fullerton, CA 92835-3626 | 2007-12-26 |
| 1841405586 | Shannon Eileen Hanrahan | Psychologist | 227 W Santa Fe Ave, Fullerton, CA 92832-1829 | 2007-05-14 |
| 1457424939 | Ann Foster Golay | Psychologist | 1440 N Harbor Blvd Ste 800, Fullerton, CA 92835-4120 | 2006-11-15 |
| 1194781120 | Mary Anne Ardito | Psychologist | 1440 N Harbor Blvd, Ste 800, Fullerton, CA 92835-4127 | 2006-04-26 |
| Find all providers in FULLERTON | ||||
Please comment or provide details below to improve the information on DR. YASAMIN FARHAD.
| 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.