Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Pardis Khosravi, PSYD

Individual provider Clinical Psychologist · NPI 1679821383

Dr. Pardis Khosravi, PSYD is a Clinical Psychologist in San Carlos, California. Licensed in California. Registered with an NPI since 2012.

Licensed in
CA
In the registry since
2012
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

1303 San Carlos Ave
San Carlos, CA 94070-2317
Phone: (650) 394-5155
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 31264 (CA)

Record details

NPI number1679821383
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorNo
NPI enumeratedAugust 28, 2012
Last updated in NPPESApril 3, 2026
Certification dateApril 3, 2026
Mailing address1303 San Carlos Ave, San Carlos, CA 94070-2317

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