Atoosa Javaheri, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Los Angeles, California. Her current practice location is
1031 W 34th St, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at
(213) 821-6500.
Atoosa Javaheri is licensed to practice in California (license number PSY28929) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1932393659.
Healthcare Provider's Profile
Full Name | Atoosa Javaheri |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 1031 W 34th St, Los Angeles, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1932393659
- Provider Enumeration Date: 09/06/2007
- Last Update Date: 07/25/2022
Medicare PECOS Information:
- PECOS PAC ID: 5193091510
- Enrollment ID: I20171030001449
Medical Identifiers
Medical identifiers for Atoosa Javaheri such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932393659 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | PSY28929 (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Atoosa Javaheri allows following entities to bill medicare on her behalf.
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
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Entity Name | Usc Care Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902846306 PECOS PAC ID: 0446157747 Enrollment ID: O20050512000412 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Atoosa Javaheri is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Atoosa Javaheri, PSYD Po Box 31309, Los Angeles, CA 90031-0309 Ph: (323) 442-5100 | Atoosa Javaheri, PSYD 1031 W 34th St, Los Angeles, CA 90089-1116 Ph: (213) 821-6500 |
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