Individual provider Active NPI

Vardanush Palyan, LMFT, PSYD

  • Marriage & Family Therapist
  • Sherman Oaks, CA
National Provider Identifier
1487026605
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
114782 Issued in CA
Practice address
15233 Ventura Blvd Ste 1208
Sherman Oaks, CA 91403-2271
Phone
(323) 401-0987
NPI assigned
Oct 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 114782 CA Primary

Addresses

Primary practice location

15233 Ventura Blvd Ste 1208
Sherman Oaks, CA 91403-2271

Mailing address

4821 Lankershim Blvd Ste F530
North Hollywood, CA 91601-4538
Phone (323) 401-0987

Other practice location 1

901 N Pacific Coast Hwy
Suite 200A
Redondo Beach, CA 90277-2162
Phone (310) 316-1610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
114782CAMDAnesthesiology Physician

NPI Registry JSON

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1487026605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4821 LANKERSHIM BLVD STE F530",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916014538",
            "telephone_number": "323-401-0987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15233 VENTURA BLVD STE 1208",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032271",
            "telephone_number": "323-401-0987"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 N Pacific Coast Hwy",
            "address_2": "Suite 200A",
            "address_purpose": "LOCATION",
            "city": "Redondo Beach",
            "state": "CA",
            "postal_code": "902772162",
            "country_code": "US",
            "telephone_number": "310-316-1610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALYAN",
        "first_name": "VARDANUSH",
        "credential": "LMFT, PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-27",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "114782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.