Tamar A. Bourian-Manuelian, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY21559 Issued in CA

Practice address

13033 Penn St Ste 800
Whittier, CA 90602-1603

Phone

(323) 705-5511

NPI assigned

Feb 5, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1013056126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1023",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906401023",
            "telephone_number": "323-705-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13033 PENN ST STE 800",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021603",
            "telephone_number": "323-705-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURIAN-MANUELIAN",
        "first_name": "TAMAR",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY21559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laleh Boroujerdi-Rad, M.D.
• Mauricio Borrego, PSYD
• Zosia Borst-Censullo, MSW
• Bianca Elizabeth Borunda
• Marina Leon Boulos-Johnson, MFT
• Jonathan Wilson Boyd, M.D.
• Maureen Bradley, RN, PHN
• Agnes D. Braga, S.L.P.A.
• Jennifer Bran
• Marilyn D. Bran, MSW

• Clinical Psychologist in Whittier, CA
• Providers in Whittier, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.