Provider Demographics
NPI:1043979925
Name:PAYANDEH, BAHAR (PSYD)
Entity type:Individual
Prefix:DR
First Name:BAHAR
Middle Name:
Last Name:PAYANDEH
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2335 E COLORADO BLVD STE 115
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91107-6833
Mailing Address - Country:US
Mailing Address - Phone:213-222-6892
Mailing Address - Fax:
Practice Address - Street 1:2335 E COLORADO BLVD STE 115
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91107-6833
Practice Address - Country:US
Practice Address - Phone:213-222-6892
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-08
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36154103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical