Organization Active NPI

Hillside Wellness Center

  • Marriage & Family Therapist
  • Sherman Oaks, CA
National Provider Identifier
1699322008
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

4521 Sherman Oaks Ave
Ste 101
Sherman Oaks, CA 91403
Phone (424) 261-9444

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.

Verify at the official NPI Registry.