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1083845564 NPI number — BAHAREH TALEI PSY.D.

NPI Number: 1083845564
Health Care Provider/Practitioner: BAHAREH TALEI PSY.D.

Information about “1083845564” NPI (BAHAREH TALEI PSY.D.) exists in 1083845564 in HTML format HTML  |  1083845564 in plain Text format TXT  |  1083845564 in PDF (Portable Document Format) PDF  |  1083845564 in an XML format XML  formats.

NPI Number : 1083845564 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1083845564",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "TALEI",
    "FirstName": "BAHAREH",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PSY.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "26500 AGOURA RD",
    "SecondLineMailingAddress": "102-401",
    "MailingAddressCityName": "CALABASAS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "91302-1952",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "818-307-0741",
    "MailingAddressFaxNumber": "818-394-6409",
    "FirstLinePracticeLocationAddress": "30125 AGOURA RD STE 2B",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "AGOURA HILLS",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "91301-4345",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "818-307-0741",
    "PracticeLocationAddressFaxNumber": "818-394-6409",
    "EnumerationDate": "08/02/2009",
    "LastUpdateDate": "04/19/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "103TC0700X",
          "TaxonomyName": "Clinical Psychologist",
          "LicenseNumber": "PSY21252",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "103TM1800X",
          "TaxonomyName": "Intellectual & Developmental Disabilities Psychologist",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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