Healthcare Provider Details

I. General information

NPI: 1003448408
Provider Name (Legal Business Name): AMY HAMIDEH FARHADZADEH P:H.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/04/2020
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5959 TOPANGA CANYON BLVD STE 195
WOODLAND HILLS CA
91367-7544
US

IV. Provider business mailing address

23001 COHASSET ST
WEST HILLS CA
91307-1510
US

V. Phone/Fax

Practice location:
  • Phone: 818-749-1008
  • Fax: 818-449-4818
Mailing address:
  • Phone: 818-749-1008
  • Fax: 818-449-4818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPSY31024
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: