Organization Active NPI

Shushanik Gaboian Licensed Clinical Social Worker Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Encino, CA
National Provider Identifier
1386333201
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SHUSHANIK GABOIAN LICENSED CLINICAL SOCIAL WORKER INC.
Practice address
16530 Ventura Blvd Ste 400
Encino, CA 91436-4551
Phone
(323) 907-0520
NPI assigned
May 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Authorized official

Name
Shushanik Gaboian, LCSWNPI 1730515131
Title
Ceo
Phone
(323) 907-0520

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

16530 Ventura Blvd Ste 400
Encino, CA 91436-4551

Mailing address

16530 Ventura Blvd Ste 400
Encino, CA 91436-4551
Phone (323) 907-0520

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1683244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683763200000",
    "number": "1386333201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16530 VENTURA BLVD STE 400",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364551",
            "telephone_number": "323-907-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16530 VENTURA BLVD STE 400",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914364551",
            "telephone_number": "323-907-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHUSHANIK GABOIAN LICENSED CLINICAL SOCIAL WORKER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-05",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "GABOIAN",
        "authorized_official_first_name": "SHUSHANIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-907-0520",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; 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.