Active NPI
Hillside Wellness Center
- Marriage & Family Therapist
- Sherman Oaks, CA
National Provider Identifier
1699322008
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- HILLSIDE WELLNESS CENTER
- Practice address
- 4521 Sherman Oaks Ave Ste 101
Sherman Oaks, CA 91403-3807 - Phone
- (818) 849-6888
- Fax
- (818) 290-3666
- NPI assigned
- Aug 20, 2019
- Last updated
- Dec 30, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Irene Yaymadjian, PSYD
- Title
- President
- Phone
- (818) 261-7486
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
4521 Sherman Oaks Ave Ste 101
Sherman Oaks, CA 91403-3807
Mailing address
15030 Ventura Blvd # 673
Sherman Oaks, CA 91403-5470
Phone (818) 849-6888
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Marriage & Family Therapist
- Sherman Oaks, CA
- NPI 1861854309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566259200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640822400000",
"number": "1699322008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15030 VENTURA BLVD # 673",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914035470",
"telephone_number": "818-849-6888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4521 SHERMAN OAKS AVE STE 101",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914033807",
"telephone_number": "818-849-6888",
"fax_number": "818-290-3666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HILLSIDE WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-20",
"last_updated": "2021-12-30",
"certification_date": "2021-12-30",
"status": "A",
"authorized_official_last_name": "YAYMADJIAN",
"authorized_official_first_name": "IRENE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "818-261-7486",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PSYD"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.