Psych Therapy Professionals

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

PSYCH THERAPY PROFESSIONALS

Practice address

100 N Brand Blvd Ste 210
Glendale, CA 91203-2642

Phone

(818) 399-1214

Fax

(818) 572-0039

NPI assigned

May 9, 2023

Last updated

Nov 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tiran Ambartsumyan, PSYDNPI 1770149213

Title

Ceo

Phone

(818) 399-1214

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tiran Ambartsumyan, PSY. D

  • Marriage & Family Therapist
  • Glendale, CA
  • NPI 1770149213
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1528758091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N BRAND BLVD STE 210",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032642",
            "telephone_number": "818-399-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N BRAND BLVD STE 210",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032642",
            "telephone_number": "818-399-1214",
            "fax_number": "818-572-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCH THERAPY PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-09",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "AMBARTSUMYAN",
        "authorized_official_first_name": "TIRAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-399-1214",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Glendale, CA
• Providers in Glendale, 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 Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.