Anett Abrahamian Assilian PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY27128 Issued in CA

Legal business name

ANETT ABRAHAMIAN ASSILIAN PSYD

Practice address

18917 Nordhoff St Ste 18
Northridge, CA 91324-4823

Phone

(818) 419-9341

NPI assigned

Jul 20, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Anett Abrahamian Assilian, PSY.D.NPI 1154452332

Title

Psychologist

Phone

(818) 419-9341

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anett Abrahamian Assilian, PSY.D.

  • Clinical Psychologist
  • Northridge, CA
  • NPI 1154452332
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1114302189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18917 NORDHOFF ST STE 18",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244823",
            "telephone_number": "818-419-9341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18917 NORDHOFF ST STE 18",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244823",
            "telephone_number": "818-419-9341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15233 Ventura Blvd",
            "address_2": "1204",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914032201",
            "country_code": "US",
            "telephone_number": "818-419-9341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2027 Montrose Ave",
            "address_purpose": "LOCATION",
            "city": "Montrose",
            "state": "CA",
            "postal_code": "910201604",
            "country_code": "US",
            "telephone_number": "818-419-9341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANETT ABRAHAMIAN ASSILIAN PSYD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-20",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "ASSILIAN",
        "authorized_official_first_name": "ANETT",
        "authorized_official_middle_name": "ABRAHAMIAN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "818-419-9341",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY27128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.