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Dr. Kiyanoosh Shamlou

Family Psychologist Clinical Psychologist Group Psychotherapist Counseling Psychologist

4199 Campus Dr Suite 550
Irvine , California 92612-4684

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Dr. Kiyanoosh Shamlou

Family Psychologist Clinical Psychologist Group Psychotherapist Counseling Psychologist

4199 Campus Dr Suite 550
Irvine , California 92612-4684

(714) 585-5380 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Clinical Psychologist
  • Counseling Psychologist
  • Family Psychologist
  • Group Psychotherapist

Languages spoken

  • English

Location

4199 Campus Dr Suite 550 Irvine , California 92612-4684

First Address

  • Dr. Kiyanoosh Shamlou
  • 4199 Campus Dr Suite 550
  • Irvine, CA
  • Zip : 92612-4684
  • Phone : (714) 585-5380

Second Address

  • Dr. Kiyanoosh Shamlou
  • 4199 Campus Dr Suite 550
  • Irvine, CA
  • Zip : 92612-4684
  • Phone : (714) 585-5380

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FAQs


Where did Dr. Kiyanoosh Shamlou attend graduate school?

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Where did Dr. Kiyanoosh Shamlou do his residency?

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Where did Dr. Kiyanoosh Shamlou do his fellowship?

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Is Dr. Kiyanoosh Shamlou board certified?

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What type of doctor is Dr. Kiyanoosh Shamlou

Clinical Psychologist

In what state does Dr. Kiyanoosh Shamlou practice in?

California

Where is Dr. Kiyanoosh Shamlou ’s practice located?

4199 Campus Dr Suite 550 , Irvine, California, 92612-4684

What is Dr. Kiyanoosh Shamlou ’s gender?

Male

Is Dr. Kiyanoosh Shamlou a sole practitioner?

No

Is Dr. Kiyanoosh Shamlou accepting new patients?

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What languages does Dr. Kiyanoosh Shamlou speak?

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Does Dr. Kiyanoosh Shamlou accept insurance?

Yes, Dr. Kiyanoosh Shamlou accepts insurance

Does Dr. Kiyanoosh Shamlou offers telemedicine?

Dr. Kiyanoosh Shamlou has not indicated if he offers telemedicine

What is Dr. Kiyanoosh Shamlou ’s professional license number?

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What is Dr. Kiyanoosh Shamlou ’s NPI number?

1083036537

Does Dr. Kiyanoosh Shamlou have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 103G00000X Clinical Psychologist PSY26074 CA
Y 103TC0700X Clinical Psychologist PSY26074 CA
N 103TC1900X Counseling Psychologist PSY26074 CA
N 103TF0000X Family Psychologist PSY26074 CA
N 103TP2701X Group Psychotherapist PSY 26074 CA

National Provider Identifier

NPI 1083036537
Provider Name Dr. Kiyanoosh Shamlou
First Address Irvine, CA 92612-4684
Second Address Irvine, CA 92612-4684
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 16/01/2014
Last Update Date 25/03/2020

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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