Fimi Annie Azizian, PSY.D
Individual provider Active NPI Clinical Psychologist · Montrose, CA
NPI 1679763239 · NPPES record last updated Jul 14, 2014
Key facts
- NPI
- 1679763239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PSY24550 (CA)
- Practice address
- 2511 Honolulu Ave
Montrose, CA 91020-1805 - Phone
- (818) 249-9322
- NPI assigned
- Jul 30, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY24550 | CA | MD | Clinical Psychologist |
| 24550 | CA | MD | Endodontist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Psychologist | 103TC0700X | PSY24550 | CA | Yes |
| Clinical Child & Adolescent Psychologist | 103TC2200X | PSY24550 | CA | |
| Cognitive & Behavioral Psychologist | 103TB0200X | PSY24550 | CA | |
| Family Psychologist | 103TF0000X | PSY24550 | CA | |
| Psychologist | 103T00000X | PSY24550 | CA |
Addresses
Primary practice location
2511 Honolulu Ave
Montrose, CA 91020-1805
Mailing address
2511 Honolulu Ave
Montrose, CA 91020-1805
Phone (818) 249-9322
Other providers in Montrose, CA
- Elisabeth Ashoff
- Erebooni Annie Aslanian
- Audrey H Huang MD Inc
- Aurora Home Health Care Services
- Ani Avakian
- Yasamin Mahbano Babaali
- Bethene A. Babcock
- Agnes Dumaua Banez
- Edwin O Barawid
- Amy Wakabayashi Becker
All providers in Montrose, CA · Clinical Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.