Organization Active NPI

Invicta Therapy

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Altadena, CA
National Provider Identifier
1194358978
Registry record updated Mar 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
INVICTA THERAPY
Doing business as
Invicta Recovery Center
Practice address
2235 Lake Ave Ste 110
Altadena, CA 91001-6002
Phone
(626) 786-4864
NPI assigned
Feb 19, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2022

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

Authorized official

Name
Arman Ter-Grigoryan, LMFTNPI 1285949511
Title
President
Phone
(626) 786-4864

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

2235 Lake Ave Ste 110
Altadena, CA 91001-6002

Mailing address

2235 Lake Ave Ste 110
Altadena, CA 91001-6002
Phone (626) 786-4864

Other names 1

  • Invicta Recovery Center Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL invictatherapy1@gmail.com Direct

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2277272Invicta Recovery Center2235 N Lake Ave #110, Altadena, CA 91001Certificate of waiverFeb 22, 2027

National Provider Directory

National Provider Directory

Locations

2235 Lake Ave
Ste 110
Altadena, CA 91001
Phone (626) 786-4864

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648425600000",
    "number": "1194358978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 LAKE AVE STE 110",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910016002",
            "telephone_number": "626-786-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 LAKE AVE STE 110",
            "city": "ALTADENA",
            "state": "CA",
            "postal_code": "910016002",
            "telephone_number": "626-786-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INVICTA THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-19",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A",
        "authorized_official_last_name": "TER-GRIGORYAN",
        "authorized_official_first_name": "ARMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-786-4864",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "invictatherapy1@gmail.com",
            "affiliation": "N",
            "endpointDescription": "e mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "invictatherapy1@gmail.com",
            "address_1": "2235 Lake Ave Ste 110",
            "city": "Altadena",
            "state": "CA",
            "country_code": "US",
            "postal_code": "910016002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Invicta Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Altadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.