Active NPI
Greg Yegheya Tchakmakjian, PHD
- Clinical Psychologist
- Bell Gardens, CA
National Provider Identifier
1629102728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 20590
- Practice address
- 6001 Clara St
Bell Gardens, CA 90201-4723 - Phone
- (562) 806-5000
- Fax
- (562) 806-9395
- NPI assigned
- Mar 14, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 20590 | CA | Primary |
Addresses
Primary practice location
6001 Clara St
Bell Gardens, CA 90201-4723
Mailing address
429 E Chevy Chase Dr
# 5
Glendale, CA 91205-3237
Phone (818) 247-5342
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20590 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629102728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "429 E CHEVY CHASE DR",
"address_2": "# 5",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912053237",
"telephone_number": "818-247-5342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6001 CLARA ST",
"city": "BELL GARDENS",
"state": "CA",
"postal_code": "902014723",
"telephone_number": "562-806-5000",
"fax_number": "562-806-9395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TCHAKMAKJIAN",
"first_name": "GREG",
"middle_name": "YEGHEYA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "20590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bell Gardens, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.