Andre Alexandrian, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95014960 Issued in CA

Practice address

1606 Winona Ave
Burbank, CA 91504-2823

Phone

(818) 572-5860

NPI assigned

Aug 28, 2020

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Mehboob Makhani MD a Professional CorporationGroup PAC ID 9133387442, 9 clinicians

Dadoyan Behavioral Medical Group IncGroup PAC ID 8325358054, 9 clinicians

Holistic Healthcare ServicesGroup PAC ID 5799123352, 6 clinicians

Tarzana Treatment Centers IncGroup PAC ID 5991897845, 55 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Mehboob Makhani MD a Professional Corporation

  • Psychiatry Physician
  • Northridge, CA
  • NPI 1578835724

  CA, Single Specialty

  Medicare reassignment Care Compare group NPD
• Tarzana Treatment Centers, Inc.

  • Community/Behavioral Health Agency
  • Lancaster, CA
  • NPI 1346842093

  CA, Single Specialty

  Medicare reassignment Care Compare group NPD
• Dadoyan Behavioral Medical Group Inc

  • Psychiatry Physician
  • Sherman Oaks, CA
  • NPI 1841687878

  CA

  Medicare reassignment Care Compare group
• Holistic Healthcare Services

  • Psychiatry Physician
  • Los Angeles, CA
  • NPI 1477327641

  CA

  Medicare reassignment Care Compare group
• Tarzana Treatment Centers, Inc.

  • Multi-Specialty Clinic/Center
  • Palmdale, CA
  • NPI 1619702099
  Care Compare group NPD
• Tarzana Treatment Centers, Inc.

  • Substance Abuse Rehabilitation Facility
  • Long Beach, CA
  • NPI 1003941683
  Care Compare group
• Tarzana Treatment Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Tarzana, CA
  • NPI 1073951216
  Care Compare group
• Tarzana Treatment Centers, Inc.

  • Medical Specialty Clinic/Center
  • Palmdale, CA
  • NPI 1285930396
  Care Compare group
• Tarzana Treatment Centers, Inc.

  • Psychiatric Hospital
  • Tarzana, CA
  • NPI 1396076147
  Care Compare group
• Tarzana Treatment Centers, Inc.

  • Multi-Specialty Clinic/Center
  • Northridge, CA
  • NPI 1427043389
  Care Compare group
• Tarzana Treatment Centers, Inc.

  • General Practice Dentistry
  • Reseda, CA
  • NPI 1538901566
  Care Compare group
• Tarzana Treatment Centers, Inc.

  • Substance Abuse Rehabilitation Facility
  • Lancaster, CA
  • NPI 1881710861
  Care Compare group

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

{
    "created_epoch": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598572800000",
    "number": "1407469554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 WINONA AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042823",
            "telephone_number": "818-572-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 WINONA AVE",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915042823",
            "telephone_number": "818-572-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDRIAN",
        "first_name": "ANDRE",
        "name_prefix": "Mr.",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-28",
        "last_updated": "2020-08-28",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95014960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Peter Alena, O.D.
• Alexander S Tovar M D a Professional Corporation
• Alexander S Tovar MD a Professional Corporation
• Daved Alexander
• Alexandre HK Tavitian DDS, Inc.
• David Alexanian, M.D.
• Polette Alexanian, DC, LAC
• Alfa Med Home Health Care Inc
• Karen Alfaro
• Alg Pharmacy Inc

• All providers in Burbank, CA
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.