DR. SHADAB BAHADOR JANNATIPOUR (NPI# 1801911151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801911151 |
| Entity Type | Individual |
| Full Name | DR. SHADAB BAHADOR JANNATIPOUR |
| Other Name | DR. SHADAB BAHADOR |
| Credential | PSY.D. |
| Practice Address |
23504 Lyons Ave Ste 204 Newhall CA 91321-2534 |
| Mailing Address |
11620 Wilshire Blvd. Ste 450 Los Angeles CA 90025 |
| Practice Telephone | 6612862550 |
| Mailing Telephone | 3104452378 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2016-08-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY22662 | CA | Behavioral Health & Social Service Providers |
| Street Address |
23504 LYONS AVE STE 204 |
| City | NEWHALL |
| State | CA |
| Zip Code | 91321-2534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104941715 | Katie Elaine Ryan | Counselor | 23504 Lyons Ave Ste 204, Newhall, CA 91321-2534 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275157265 | Lauren Tolcher | Behavioral Analyst | 23502 Lyons Avenue, Suite 304a, Santa Clarita, CA 91321 | 2020-06-04 |
| 1427613900 | Weston William Lensing | Behavior Technician | 3502 Lyons Ave, Ste 304a, Santa Clarita, CA 91321 | 2019-05-09 |
| 1174005003 | Eparthenos | Psychologist | 23504 Lyons Ave #304, Santa Clarita, CA 91321 | 2018-09-06 |
| 1740761105 | The Center for Creative Therapy, Inc | Marriage & Family Therapist | 23030 Lyons Ave Ste 207, Santa Clarita, CA 91321 | 2018-08-23 |
| 1982196879 | Brandi Wright-dohopolski | Acupuncturist | 27820 Freemont Court, Unit 5, Suite E, Valencia, CA 91321 | 2018-06-06 |
| 1780113209 | Jennifer Ann Woods | Physician Assistant | 23645 Meadowridge Drive, 110, Newhall, CA 91321 | 2017-06-08 |
| 1942661624 | Sina Tebi Md Inc | Internal Medicine | 23938 Lyons Avenue, #204, Newhall, CA 91321 | 2016-03-09 |
| 1720452220 | Julie Kim | Pharmacist | 26863 Sierra Hwy, Santa Clarita, CA 91321 | 2015-11-20 |
| 1568855773 | Carly Nikiforuk | Counselor | 24625 Arch St., Newhall, CA 91321 | 2015-03-12 |
| 1437562741 | Teresa Cha Waggoner | Nurse Practitioner | 23772 Newhall Avenue, Newhall, CA 91321 | 2014-06-04 |
| Find all providers in zip 91321 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881833556 | Nancy Dunbar | Psychologist | 23030 Lyons Ave Ste 202, Newhall, CA 91321-2755 | 2009-02-19 |
| 1346371499 | Michelle Lee Earnest-rahman | Psychologist | 21411 Plane Tree Ln, # 202, Newhall, CA 91321-4475 | 2007-03-08 |
| 1144355884 | Kathi Caine Studden | Psychologist | 24868 Apple St, Suite 102, Newhall, CA 91321-5037 | 2007-02-22 |
| 1417004474 | Donald Ray Cowell | Psychologist | 25050 Peachland Ave Ste 255, Newhall, CA 91321-5761 | 2007-01-04 |
| 1396752093 | Arnold I Blumenfeld | Psychologist | 23560 Lyons Ave, Suite 202, Newhall, CA 91321-2521 | 2006-08-02 |
| 1225230899 | Elizabeth Ramquist | Psychologist | 25050 Peachland Ave, Suite 250, Newhall, CA 91321-2523 | 2007-06-05 |
| 1518091982 | Candelario Larry Resendez II | Psychologist | 23502 Lyons Ave Ste 304, Newhall, CA 91321-2538 | 2007-03-15 |
| 1184757270 | Lynette Mcdonald Soto | Psychologist | 23504 Lyons Ave, Suite 304, Newhall, CA 91321-2500 | 2007-03-14 |
| 1104964311 | Patricia Ellen Patton | Psychologist | 23504 Lyons Ave, Suite #304, Newhall, CA 91321-2500 | 2007-02-01 |
| 1093878993 | Debbie Lynn Campbell | Psychologist | 25050 Peachland Ave, Suite 220, Newhall, CA 91321 | 2006-12-19 |
| Find all providers in NEWHALL | ||||
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| 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.