Tamar Kevork Matossian, SLPA

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

820 Foothill Blvd
La Canada Flintridge, CA 91011-3336

Phone

(626) 765-1724

NPI assigned

Jul 15, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Tamar Kevork Karakashian Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1657843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1215661004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 FOOTHILL BLVD",
            "city": "LA CANADA FLINTRIDGE",
            "state": "CA",
            "postal_code": "910113336",
            "telephone_number": "626-765-1724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 FOOTHILL BLVD",
            "city": "LA CANADA FLINTRIDGE",
            "state": "CA",
            "postal_code": "910113336",
            "telephone_number": "626-765-1724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATOSSIAN",
        "first_name": "TAMAR",
        "middle_name": "KEVORK",
        "credential": "SLPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-15",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "therapywithtamar@gmail.com",
            "affiliation": "N",
            "address_1": "820 Foothill Blvd",
            "city": "LA Canada Flintridge",
            "state": "CA",
            "country_code": "US",
            "postal_code": "910113336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TAMAR",
            "last_name": "KARAKASHIAN",
            "middle_name": "KEVORK",
            "credential": "BA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Phic Kaing Lim, PHARMD
• Megan Lund, PT, DPT
• Sally Mansour
• Sevana Manukian, MD, MPH
• Angie Martin
• Aidas Joseph Mattis, M.D., PHD
• Allen Minassian, PT, DPT
• Shant Alexander Minassian, PT, DPT, OCS
• Sumita Mitra, DO
• Rena Mkhitaryan

• Developmental Therapist in La Canada Flintridge, CA
• Providers in La Canada Flintridge, CA by specialty
• Developmental Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.