Selina Mangassarian, PSY.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PSY30847 Issued in CA

Practice address

2600 W Olive Ave FL 5
Burbank, CA 91505-4572

Phone

(818) 588-4300

NPI assigned

Aug 28, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1377648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1215361142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912090681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 W OLIVE AVE FL 5",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054572",
            "telephone_number": "818-588-4300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 W Carson St",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905022004",
            "country_code": "US",
            "telephone_number": "818-588-4300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26565 Agoura Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Calabasas",
            "state": "CA",
            "postal_code": "913021990",
            "country_code": "US",
            "telephone_number": "818-588-4300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "355 S Grand Ave Ste 2450",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900719500",
            "country_code": "US",
            "telephone_number": "818-588-4300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4000 MacArthur Blvd Ste 600 East Tower",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926602517",
            "country_code": "US",
            "telephone_number": "949-409-7900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15260 Ventura Blvd Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914035347",
            "country_code": "US",
            "telephone_number": "818-588-4300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15260 Ventura Blvd Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Sherman Oaks",
            "state": "CA",
            "postal_code": "914035347",
            "country_code": "US",
            "telephone_number": "818-588-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANGASSARIAN",
        "first_name": "SELINA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-28",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "CA",
            "license": "PSY30847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Mancini
• Elizabeth Nicole Mandarino
• Araceli M Mandi, DDS
• Yasamin Manesh
• Aris Mangasarian
• Manjula Jain MD, Inc.
• Robert Israel Mann, M.A., M.F.T.
• Jessica Manning
• Silvia Manon Alvarez
• Alice Chalian Manoukian, DDS

• Clinical Neuropsychologist in Burbank, CA
• Providers in Burbank, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.