A & a Psychological Services, Inc.
Organization Active NPI Psychologist · Glendale, CA
NPI 1205245271 · NPPES record last updated Mar 11, 2015
Key facts
- NPI
- 1205245271
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychologist 103T00000X
- License
- PSY 26408 (CA)
- Legal business name
- A & A PSYCHOLOGICAL SERVICES, INC.
- Practice address
- 100 N Brand Blvd
209
Glendale, CA 91203-2641 - Phone
- (818) 720-8376
- Fax
- (818) 240-3041
- NPI assigned
- Aug 4, 2014
- Organization subpart
- No
Authorized official
- Name
- Roza Zograbyan
- Title
- Ceo
- Phone
- (818) 720-8376
Practitioners 2
-
Roza Zograbyan, PSY.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150316001519 | CA | Part B Supplier - Clinic/Group Practice | 2567789399 |
Receives reassigned benefits from 2 practitioners Practice locations: Glendale, CA |
National Provider Directory
Locations
100 N Brand Blvd
Ste 209
Glendale, CA 91203
Phone (818) 539-2231
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | PSY 26408 | CA | Yes |
Addresses
Primary practice location
100 N Brand Blvd
209
Glendale, CA 91203-2641
Mailing address
100 N Brand Blvd
209
Glendale, CA 91203-2641
Phone (818) 720-8376
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.