Individual provider Active NPI

Lilit Asulyan

  • Psychologist
  • Santa Clarita, CA
National Provider Identifier
1154945152
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
32881 Issued in CA
Practice address
17728 Sierra Hwy
Santa Clarita, CA 91351-1635
Phone
(888) 770-5222
NPI assigned
Jun 4, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
Psychologist 103T00000X 32881 CA Primary

Addresses

Primary practice location

17728 Sierra Hwy
Santa Clarita, CA 91351-1635

Mailing address

6300 Variel Ave Apt 405
Woodland Hills, CA 91367-2612
Phone (818) 209-4530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211013000802 CA Practitioner - Clinical Psychologist 1658779277 Reassigns benefits to 1 organization
I20230912002207 AZ Practitioner - Clinical Psychologist 1658779277 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pure Autism Counseling Center IncGroup PAC ID 4284967167, 11 clinicians

Practice addresses (Care Compare)

17702 Sierra Hwy
Santa Clarita, CA 91351-1635
Phone (888) 770-5222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
32881CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pure Autism Counseling Center Inc CurrentSince Oct 2, 2021 Accepting new patients

Locations

19981 Soledad Canyon Rd
Santa Clarita, CA 91351
Phone (661) 360-7730

17702 Sierra Hwy
Santa Clarita, CA 91351
Phone (888) 770-5222

17728 Sierra Hwy
Santa Clarita, CA 91351
Phone (661) 360-7730

Interoperability endpoints

  • Direct secure messaging: lilit.asulyan.p4@direct.hdmgipa.nextgenshare.com
  • FHIR API: https://api.platform.athenahealth.com/19641/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1154945152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 VARIEL AVE APT 405",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672612",
            "telephone_number": "818-209-4530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17728 SIERRA HWY",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913511635",
            "telephone_number": "888-770-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASULYAN",
        "first_name": "LILIT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "32881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clarita, CA

Sources for this page

Verify at the official NPI Registry.