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

Individual provider Clinical Psychologist · NPI 1073921359

Marjan Fardghassemi, PSYD is a Clinical Psychologist in Los Angeles, California. Qualified in 2001, 25 years ago. Practices with Memory Check Psychological Services, a Professional Corporation, a 80-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
25
Licensed in
CA
In the registry since
2014
Specialties on file
2
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

4929 Wilshire Blvd Ste Number 510
Los Angeles, CA 90010-3808
Phone: (562) 904-3999
Fax: (855) 688-6746
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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 PSY26145 (CA)
Psychologist Taxonomy 103T00000X · Licence PSY26145 (CA)

Record details

NPI number1073921359
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD
Sole proprietorYes
NPI enumeratedJuly 30, 2014
Last updated in NPPESMarch 29, 2018

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Memory Check Psychological Services, A Professional Corporation — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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