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Export Provider Record NPI 1003369646
Mahsa MirazimyPSY.D.
Active
NPI Number1003369646
NPI TypeNPI-1 Individual
SpecialtyPsychologist, Clinical
Provider Details
NPI1003369646
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2016-08-01
Last Updated2021-01-25
Mailing Address333 N Michigan Ave Ste 1530
Chicago, IL 60601-4000
United States
Phone: (847) 609-1475
📍 View Map
Primary Practice Address333 N Michigan Ave Ste 1530
Chicago, IL 60601-4000
United States
Phone: (847) 609-1475
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes103TC0700X – Psychologist, ClinicalIL071009339
Export Provider Record NPI 1003369646
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About NPI 1003369646

Mahsa Mirazimy PSY.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1003369646. The primary specialty listed is Psychologist, Clinical. The provider is located in Chicago, IL. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2016-08-01. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1003369646?

NPI 1003369646 belongs to Mahsa Mirazimy PSY.D., a Psychologist, Clinical in Chicago, IL. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1003369646 active?

The current status of NPI 1003369646 in the NPPES registry is Active. The record was last updated on 2021-01-25.

What specialty is NPI 1003369646?

NPI 1003369646 is classified under the taxonomy Psychologist, Clinical. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1003369646?

You can verify NPI 1003369646 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1003369646?

The primary practice address on file for NPI 1003369646 is 333 N Michigan Ave Ste 1530, Chicago, IL 60601-4000. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1003369646 issued?

NPI 1003369646 was first issued (enumerated) on 2016-08-01. The NPPES record was last updated on 2021-01-25.

Practice Location Map

Mahsa Mirazimy is located at 333 N Michigan Ave Ste 1530, Chicago, IL. Use the map below to find directions or verify the practice location.

📍 333 N Michigan Ave Ste 1530, Chicago, IL 60601-4000  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Mahsa Mirazimy. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1003369646. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Psychologist, Clinical071009339IL
Data Verified from CMS NPPES Last synced: 2026-05-31 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162