Anilga Tabibian, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY29733 Issued in CA

Practice address

221 E Glenoaks Blvd Ste 230
Glendale, CA 91207-2127

Phone

(626) 540-2101

NPI assigned

Sep 13, 2010

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Monarch Center for Developmental Services

  • Behavior Analyst
  • Glendale, CA
  • NPI 1427625334

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1063729978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 E GLENOAKS BLVD STE 230",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912072127",
            "telephone_number": "626-540-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 E GLENOAKS BLVD STE 230",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912072127",
            "telephone_number": "626-540-2101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABIBIAN",
        "first_name": "ANILGA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY29733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ta Transport Holdings, LLC
• Kenneth Ta
• Moshe Tabak, M.D.
• Sima Tabanfar, O.D.
• Shahram Tabib, MD
• James Hagop Tabibian, M.D.
• Michelle Tablada-Quintanilla, M.D.
• Marie Louise B Tabora, D.D.S.
• Ruby Tabuchi
• Alysa Tacata

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.