Individual provider Active NPI

Nvard Mkrtchyan

  • Marriage & Family Therapist
  • Simi Valley, CA
National Provider Identifier
1164927224
Registry record updated Jul 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
3695 Alamo St Ste 103
Simi Valley, CA 93063-2188
Phone
(805) 842-1994
NPI assigned
Mar 29, 2018
Last updated
Jul 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

3695 Alamo St Ste 103
Simi Valley, CA 93063-2188

Mailing address

3695 Alamo St Ste 103
Simi Valley, CA 93063-2188

Other practice location 1

6736 Laurel Canyon Blvd Ste 200
North Hollywood, CA 91606-1576
Phone (818) 755-8786

Other practice location 2

6736 Laurel Canyon Blvd Ste 200
North Hollywood, CA 91606
Phone (818) 755-8786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Simi Psychological Group, Apc CurrentSince Jul 10, 2022 Accepting new patients

Locations

3695 Alamo St
Ste 103
Simi Valley, CA 93063
Phone (805) 334-8466

Organizations & group practices 1

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": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657065600000",
    "number": "1164927224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3695 ALAMO ST STE 103",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3695 ALAMO ST STE 103",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930632188",
            "telephone_number": "805-842-1994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6736 Laurel Canyon Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "North Hollywood",
            "state": "CA",
            "postal_code": "916061576",
            "country_code": "US",
            "telephone_number": "818-755-8786",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6736 Laurel Canyon Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "North Hollywood",
            "state": "CA",
            "postal_code": "91606",
            "country_code": "US",
            "telephone_number": "818-755-8786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MKRTCHYAN",
        "first_name": "NVARD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2022-07-06",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.