Olymp Sport and Developmental Center Inc

Primary specialty

Exercise & Sports PsychologistTaxonomy code 103TE1100X

Legal business name

OLYMP SPORT AND DEVELOPMENTAL CENTER INC

Practice address

17636 Chatsworth St
Granada Hills, CA 91344-5601

Phone

(818) 859-2050

NPI assigned

Nov 24, 2025

Last updated

Nov 24, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Evgeniya Grigorian

Title

Ceo

Phone

(818) 859-2050

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1763942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1336000843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12765 MEADOWLARK AVE",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913441208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17636 CHATSWORTH ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445601",
            "telephone_number": "818-859-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLYMP SPORT AND DEVELOPMENTAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-23",
        "status": "A",
        "authorized_official_last_name": "GRIGORIAN",
        "authorized_official_first_name": "EVGENIYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-859-2050"
    },
    "taxonomies": [
        {
            "code": "103TE1100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Exercise & Sports",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.