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Siamak Ehteshamzadeh
Family Psychologist in Moreno Valley, California
NPI 1508116518

Siamak Ehteshamzadeh is a Family Psychologist based in Moreno Valley, CA and is specialized in Family. Siamak Ehteshamzadeh practices in Moreno Valley, CA. The NPI Number for Siamak Ehteshamzadeh is 1508116518 and holds a License No. (California).

The current practice location address for Siamak Ehteshamzadeh is 25320 Lurin Ave, Moreno Valley, CA and can be reached out via phone at 951-217-9363. You can also correspond with Siamak Ehteshamzadeh through the mailing address at PO BOX 8461, MORENO VALLEY, CA - 92552-8461 (mailing address contact number: 951-217-9363).

Location: 25320 Lurin Ave, Moreno Valley, CA, 92552-8461
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508116518
Provider Name
Siamak Ehteshamzadeh
Credential
Provider Entity Type
Individual
Gender
Male
Address
25320 Lurin Ave, Moreno Valley, CA, 92552-8461
Phone Number
951-217-9363
Fax Number
Provider Enumeration Date
09/17/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
25320 Lurin Ave
City
Moreno Valley
State
California
Zip
92551-2405
Phone Number
951-217-9363
Fax Number
person
Provider Business Mailing Address Details
Address
25320 Lurin Ave
City
Moreno Valley
State
California
Zip
92551-2405
Phone Number
951-217-9363
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
PSB37425 (California)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Family
Taxonomy
103TF0000X
License No.
()
Definition
A psychologist whose specialty is founded on principles of systems theory with the interpersonal system of the family the focus of assessment, intervention and research.
person
Provider's Taxonomy Details 4
Type
Other Service Providers
Classification
Case Manager/Care Coordinator
Speciality
-
Taxonomy
171M00000X
License No.
()
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
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