McLa Psychiatric Medical Group a Professional Corporation

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

MCLA PSYCHIATRIC MEDICAL GROUP A PROFESSIONAL CORPORATION

Doing business as

MCLA Psychiatric Medical Group

Practice address

1560 E Chevy Chase Drive
Suite 130
Glendale, CA 91206-4140

Phone

(818) 240-0340

Fax

(818) 545-7672

NPI assigned

Mar 7, 2006

Organization subpart

No

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

Authorized official

Name

Lukas Alexanian, MD

Title

President

Phone

(818) 240-0340

Specialties & licenses 5

Addresses

Other names 1

• MCLA Psychiatric Medical Group Doing business as

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1083681290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 E CHEVY CHASE DRIVE",
            "address_2": "SUITE 130",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064140",
            "telephone_number": "818-240-0340",
            "fax_number": "818-545-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 E CHEVY CHASE DRIVE",
            "address_2": "SUITE 130",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912064140",
            "telephone_number": "818-240-0340",
            "fax_number": "818-545-7672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCLA PSYCHIATRIC MEDICAL GROUP A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-07",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "ALEXANIAN",
        "authorized_official_first_name": "LUKAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-240-0340",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCLA Psychiatric Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grayden McIntyre
• Prairie-Dawn McKay
• Ronald Leo McKay, D.D.S
• Kayla Renee McKeighan
• John Paul McKenzie III, M.D.
• Abigail McLaughlin
• Bernard T McNamara, MD
• McSsg
• Laureen Kiambao McVicker, PHYSICAL THERAPIST
• Lisa McVicker

• Psychiatry Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2015; 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.