MEDICARE: RISHE PSYCHOLOGY A PROFESSIONAL CORPORATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1811863913
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RISHE PSYCHOLOGY A PROFESSIONAL CORPORATION

Provider Business Mailing Address
First Line	:	2335 E COLORADO BLVD STE 115
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91107-6833
Country	:	US
Telephone Number	:	855-589-3646
Fax Number	:

Provider Business Practice Location Address
First Line	:	815 E COLORADO ST STE 200
Second Line	:
City	:	GLENDALE
State	:	CA
Zip	:	91205-1298
Country	:	US
Telephone Number	:	855-589-3646
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. BAHARA PAYANDEH
Credential	:	PSY.D
Telephone Number	:	855-589-3646

Provider Enumeration Date	:	10/15/2025
Last Update Date	:	03/16/2026

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