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

Individual provider Marriage & Family Therapist · NPI 1629315098

Mrs. Shayma Mortazavi, MFT is a Marriage and Family Therapist in Riverside, California. Qualified in 2011, 15 years ago. Practices with Sud Specialty Group - Ca, a 499-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
15
Licensed in
CA
In the registry since
2013
What do these letters mean?
MFT — Marriage and Family Therapist
A therapist who treats couples and families.

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Practice location Address checks out

5225 Canyon Crest Dr Bldg 100
Riverside, CA 92507-6301
Phone: (951) 248-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence LMFT80323 (CA)

Record details

NPI number1629315098
Entity typeIndividual (Type 1)
GenderFemale
Credentials MFT
Sole proprietorNo
NPI enumeratedJanuary 5, 2013
Last updated in NPPESNovember 18, 2021
Certification dateNovember 16, 2021

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Sud Specialty Group - Ca — 499 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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