Individual provider Active NPI

Vrezh Ayrapetyan, PH.D.

  • Psychologist
  • Glendale, CA
National Provider Identifier
1164769055
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY 24470 Issued in CA
Practice address
401 N Brand Blvd
Suite 822
Glendale, CA 91203-4427
Phone
(818) 480-5779
NPI assigned
Jan 11, 2013
Last updated
Jan 11, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY 24470 CA Primary

Addresses

Primary practice location

401 N Brand Blvd
Suite 822
Glendale, CA 91203-4427

Mailing address

PO Box 5783
Apt # 9
Glendale, CA 91221
Phone (818) 621-7587

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170314000147 CA Practitioner - Clinical Psychologist 6507141512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

141 S Cedar St
Glendale, CA 91205-1207
Phone (818) 839-4010

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY 24470CAMDPsychologist
24470CAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
All for Health Health for All Inc CurrentSince Jan 28, 2017 Accepting new patients
All for Health Health for All Inc CurrentSince Jan 28, 2017 Accepting new patients
All for Health Health for All Inc Current Accepting new patients
Comfortcare Hospice Inc PastSince Jan 31, 2021 Accepting new patients

Locations

519 E Broadway
Glendale, CA 91205
Phone (818) 409-3020

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: vrezh.ayrapetyanphd.p1@direct.afh.nextgenshare.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1357862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357862400000",
    "number": "1164769055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5783",
            "address_2": "APT # 9",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "91221",
            "telephone_number": "818-621-7587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N BRAND BLVD",
            "address_2": "SUITE 822",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912034427",
            "telephone_number": "818-480-5779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYRAPETYAN",
        "first_name": "VREZH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-11",
        "last_updated": "2013-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 24470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.