Provider Demographics
NPI:1518532613
Name:EPIC PSYCHOLOGY, INC.
Entity Type:Organization
Organization Name:EPIC PSYCHOLOGY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:PARIVASH
Authorized Official - Middle Name:
Authorized Official - Last Name:MOTTAGHIAN
Authorized Official - Suffix:
Authorized Official - Credentials:PAYD
Authorized Official - Phone:916-960-7094
Mailing Address - Street 1:2814 BOXCAR DR
Mailing Address - Street 2:
Mailing Address - City:ROCKLIN
Mailing Address - State:CA
Mailing Address - Zip Code:95765-5776
Mailing Address - Country:US
Mailing Address - Phone:916-960-7094
Mailing Address - Fax:
Practice Address - Street 1:8070 CHESTNUT CT
Practice Address - Street 2:OPTIONAL
Practice Address - City:GRANITE BAY
Practice Address - State:CA
Practice Address - Zip Code:95746
Practice Address - Country:US
Practice Address - Phone:916-960-7094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-21
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)