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

Golzar Kouklan, BS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1649544289

Golzar Kouklan, BS is a Clinical Psychologist in Long Beach, California. Qualified in 2017, 9 years ago. Practices with San Diego Brainworks Psychology and Neuropsychology Services, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California and Wisconsin.

Years since qualifying
9
Licensed in
CA, WI
In the registry since
2012
Specialties on file
2
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

434 E 4th St
Long Beach, CA 90802-2405
Phone: (630) 715-2520
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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 30945 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (WI)

Record details

NPI number1649544289
Entity typeIndividual (Type 1)
GenderFemale
Credentials BS
Sole proprietorNo
NPI enumeratedFebruary 29, 2012
Last updated in NPPESAugust 29, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice San Diego Brainworks Psychology And Neuropsychology Services — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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