Individual ProviderSepideh AdhamiPsychologistBehavioral Health & Social Service ProvidersPractice Address8300 Utica Ave Ste 245, Rancho Cucamonga, CA 91730-3852(818) 835-3131PECOS EnrollmentBased on the most recent information from CMS, provider Sepideh Adhami is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1124451307Provider TypeIndividualFull NameAdhami, SepidehTitleDr.CredentialPSY.D.GenderFemaleSole ProprietorYesEnumeration Date8/12/2013Last Updated7/6/2023Contact InformationPractice LocationPractice Address8300 Utica Ave Ste 245, Rancho Cucamonga, CA 91730-3852Phone(818) 835-3131FaxUnlisted FaxMailing LocationMailing Address8300 Utica Ave Ste 245, Rancho Cucamonga, CA 91730-3852Phone(818) 835-3131FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode103T00000XPrimaryDescriptionPsychologistBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer