Dr. Mahsa Mirazimy, Psy.D.
Psychologist, Clinical in Chicago, IL. Individual provider (NPI-1).
NPI number1003369646
StatusActive
Last updated in NPPESJan 25, 2021
Details
- NPI
- 1003369646
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mahsa Mirazimy
- Credential
- Psy.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 1, 2016
- Certification date
- Jan 25, 2021
- Last updated
- Jan 25, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 071009339 | IL | Yes |
Practice location
333 N Michigan Ave Ste 1530Chicago, IL 60601-4000
Phone 847-609-1475
Mailing address
333 N Michigan Ave Ste 1530Chicago, IL 60601-4000
Phone 847-609-1475
Other practice locations
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