Marjan Fardghassemi, PSYD - Medicare Psychologist in Los Angeles, CA

Marjan Fardghassemi, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Los Angeles, California. She graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Memory Check Psychological Services, A Professional Corporation and her current practice location is 4929 Wilshire Blvd, Suite Number 510, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (562) 904-3999.

Marjan Fardghassemi is licensed to practice in California (license number PSY26145) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073921359.

Contact Information

Marjan Fardghassemi, PSYD
4929 Wilshire Blvd, Suite Number 510,
Los Angeles, CA 90010-3808
(562) 904-3999
(855) 688-6746



Healthcare Provider's Profile

Full NameMarjan Fardghassemi
GenderFemale
SpecialityClinical Psychologist
Experience23 Years
Location4929 Wilshire Blvd, Los Angeles, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Marjan Fardghassemi graduated from medical school in 2001
  NPI Data:
  • NPI Number: 1073921359
  • Provider Enumeration Date: 07/30/2014
  • Last Update Date: 03/29/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 0749407310
  • Enrollment ID: I20140806001004

Medical Identifiers

Medical identifiers for Marjan Fardghassemi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073921359NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY26145 (California)Primary
103T00000XPsychologist PSY26145 (California)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Memory Check Psychological Services, A Professional Corporation741685642262

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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. Marjan Fardghassemi allows following entities to bill medicare on her behalf.
Entity NameMemory Check Psychological Services, A Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912184219
PECOS PAC ID: 7416856422
Enrollment ID: O20040107001021

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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. Marjan Fardghassemi 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 AddressPractice Location Address
Marjan Fardghassemi, PSYD
4929 Wilshire Blvd, Suite Number 510,
Los Angeles, CA 90010-3808

Ph: (562) 904-3999
Marjan Fardghassemi, PSYD
4929 Wilshire Blvd, Suite Number 510,
Los Angeles, CA 90010-3808

Ph: (562) 904-3999

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Psychologist in Los Angeles, CA

Dr. Jennie M. Mathess, PSY.D.
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Phone: 626-395-7100    
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Practice Location: 1554 S Sepulveda Blvd, Suite 211, Los Angeles, CA 90025
Phone: 310-476-5277    
Dr. Karen Siscoe, PH.D.
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Practice Location: 450 Bauchet St, Los Angeles, CA 90012
Phone: 213-473-6530    
Dr. Kara Taguchi, PSY.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 550 S Vermont Ave, Adult Systems Of Care, 12th Floor, Los Angeles, CA 90020
Phone: 213-305-2999    Fax: 213-381-5497
Dr. Kara Lynn Hart, PSY,D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 11500 W Olympic Blvd, Suite 500, Los Angeles, CA 90064
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Molly Cevasco, PH.D., BCBA
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Practice Location: 4650 W Sunset Blvd, Ms #53, Los Angeles, CA 90027
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Dr. Adam Vogel, PSY.D.
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