Anahit G Matevosyan, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A69447 Issued in CA

Practice address

100 N Brand Blvd Ste 630
Glendale, CA 91203-2641

Phone

(818) 476-0132

Fax

(818) 476-0119

NPI assigned

Mar 9, 2007

Last updated

Feb 9, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Enara Family Counseling P C

  • Psychologist
  • El Cajon, CA
  • NPI 1356178792
  Medicare reassignment NPD

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1255463899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N BRAND BLVD STE 630",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032641",
            "telephone_number": "818-476-0132",
            "fax_number": "818-476-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N BRAND BLVD STE 630",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032641",
            "telephone_number": "818-476-0132",
            "fax_number": "818-476-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATEVOSYAN",
        "first_name": "ANAHIT",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A69447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Master Staffing, Inc
• Sofi Masteyan, LCSW
• Patricia K Masuda-Story, PSY.D.
• Maternity Imaging Inc
• Adelina Matevosyan, PHD
• Nora Matevosyan
• Lindsy Mathewkutty
• Malethea J Mathurin, NURSE
• Maria Cecilia Matibag, RPH
• Matisa Inc

• Psychiatry Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.