Vergine Vicky Dzhanszyan

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

AMFT128441 Issued in CA

Practice address

12510 Van Nuys Blvd Ste 201
Pacoima, CA 91331-6732

Phone

(626) 395-7100

NPI assigned

Feb 2, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Serene Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • La Crescenta, CA
  • NPI 1629341763
  NPD

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1376875369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12510 VAN NUYS BLVD STE 201",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913316732",
            "telephone_number": "626-395-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12510 VAN NUYS BLVD STE 201",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913316732",
            "telephone_number": "626-395-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZHANSZYAN",
        "first_name": "VERGINE",
        "middle_name": "VICKY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-02",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 60560",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT128441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Dubner, PSY.D.
• Elizabeth Duran
• Monique Duran
• Tania Melissa Duran
• Dynamic Hospice Care, Inc.
• Randi-Simone Edwards
• Stephanie Enriquez
• Jacqueline Erwin
• Desteny Escalante
• Neli Esparza

• Marriage & Family Therapist in Pacoima, CA
• Providers in Pacoima, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.