Organization Active NPI

Java Psychiatry Inc

  • Neurology Physician
  • Sherman Oaks, CA
National Provider Identifier
1265728448
Registry record updated Feb 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
JAVA PSYCHIATRY INC
Practice address
13425 Ventura Blvd Ste 201
Sherman Oaks, CA 91423-3366
Phone
(818) 305-6061
NPI assigned
Jun 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2024

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

Authorized official

Name
Neda Javaherian, M.D.NPI 1922250554
Title
Owner/President
Phone
(818) 430-4241

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

13425 Ventura Blvd Ste 201
Sherman Oaks, CA 91423-3366

Mailing address

13425 Ventura Blvd Ste 201
Sherman Oaks, CA 91423-3366
Phone (818) 305-6061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110804000641 CA Part B Supplier - Clinic/Group Practice 7618146853 Receives reassigned benefits from 1 practitioner
Practice locations: Sherman Oaks, CA

National Provider Directory

National Provider Directory
Tax ID family
Java Psychiatry Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13425 Ventura Blvd
Ste 101
Sherman Oaks, CA 91423
Phone (818) 305-6061

13425 Ventura Blvd
Ste 201
Sherman Oaks, CA 91423
Phone (818) 305-6061

11430 Ventura Blvd
Studio City, CA 91604

Practitioners & affiliated clinicians

Practitioners 3

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": "1308960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1265728448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13425 VENTURA BLVD STE 201",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914233366",
            "telephone_number": "818-305-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13425 VENTURA BLVD STE 201",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914233366",
            "telephone_number": "818-305-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAVA PSYCHIATRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-25",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "JAVAHERIAN",
        "authorized_official_first_name": "NEDA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "818-430-4241",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.