Anton Serzhan, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY33927 Issued in CA

Practice address

4338 Gentry Ave Apt 3
Studio City, CA 91604-1764

Phone

(818) 509-6737

NPI assigned

Aug 9, 2021

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1659046084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4338 GENTRY AVE APT 3",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916041764",
            "telephone_number": "818-509-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4338 GENTRY AVE APT 3",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916041764",
            "telephone_number": "818-509-6737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERZHAN",
        "first_name": "ANTON",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-09",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY33927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF PSYCHOLOGY",
            "identifier": "PSY33927",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emeline G See, DMD
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• Rouya Shamsai, OD
• Randi Shannahan, PT, DPT

• Clinical Psychologist in Studio City, CA
• Providers in Studio City, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.