Rena Mkhitaryan

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

36482 Issued in CA

Practice address

1975 Verdugo Blvd Ste D
La Canada Flintridge, CA 91011-3024

Phone

(818) 864-6602

NPI assigned

May 29, 2024

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)

Not enrolled

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 and National Provider Directory roles.

• Uplift Therapy Center

  • Pediatric Occupational Therapist
  • La Canada, CA
  • NPI 1518584002

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1376383265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10554 LEOLANG AVE",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910402915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1975 VERDUGO BLVD STE D",
            "city": "LA CANADA FLINTRIDGE",
            "state": "CA",
            "postal_code": "910113024",
            "telephone_number": "818-864-6602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MKHITARYAN",
        "first_name": "RENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "36482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamar Kevork Matossian, SLPA
• Aidas Joseph Mattis, M.D., PHD
• Allen Minassian, PT, DPT
• Shant Alexander Minassian, PT, DPT, OCS
• Sumita Mitra, DO
• Ann Mori, PT
• Motion Picture Behavioral Health
• Abdulmunem Muqayad
• Jaclyn Nash
• Neuro Network, Inc.

• Speech-Language Pathologist in La Canada Flintridge, CA
• Providers in La Canada Flintridge, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.