Ilya Shtykan, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT128586 Issued in CA

Practice address

1133 N Detroit St Apt 2
West Hollywood, CA 90046-5843

Phone

(818) 770-0654

NPI assigned

Apr 11, 2016

Sex

Male

Sole proprietor

Yes

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

Enrolled in CA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Cyti Health PC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Diego, CA
  • NPI 1679172290
  Medicare reassignment NPD
• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Marriage & Family Therapist

  Medicare reassignment NPD
• West Hollywood Atc

  • Substance Abuse Rehabilitation Facility
  • West Hollywood, CA
  • NPI 1417415639
  NPD (past)

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

{
    "created_epoch": "1460332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1598129017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18735 HATTERAS ST UNIT 42",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 N DETROIT ST APT 2",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900465843",
            "telephone_number": "818-770-0654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHTYKAN",
        "first_name": "ILYA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-11",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT128586",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saman Shirazi-Nejad, DC
• Vivian Negar Shirvani, M.D., M.P.H.
• Jun Shoji, M.D.
• Daniel Shouhed, M.DM
• Jonathan Shouhed, DDS
• Valery P Shulman, M.D.
• Tara Mae Shultz
• Arnold Shvarts, M.D.
• Jessica Siak, M.D.
• Karen Sibert, MD

• Marriage & Family Therapist in West Hollywood, CA
• Providers in West Hollywood, 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 May 3, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.