Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Miss. Maryam Boroujerdi-Rad

Individual provider Mental Health Counselor · NPI 1891986329

Miss. Maryam Boroujerdi-Rad is a Clinical Psychologist in Irvine, California. Qualified in 2010, 16 years ago. Practices with Coastal Psychological Services, Inc, an 8-clinician group and accepts Medicare assignment.

Years since qualifying
16
In the registry since
2007
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Practice location Address checks out

22 Foxcrest
Irvine, CA 92620-1290
Phone: (714) 730-0623
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1891986329
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 8, 2007
Last updated in NPPESAugust 8, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Coastal Psychological Services, Inc. — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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