Individual provider Active NPI

Lilit Abraamyan-Chaidez

  • Psychologist
  • Burbank, CA
National Provider Identifier
1710433289
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY31671 Issued in CA
Practice address
500 E Olive Ave Ste 540
Burbank, CA 91501-2132
Phone
(818) 446-2522
NPI assigned
Aug 25, 2016
Last updated
Dec 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY31671 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X
Rehabilitation Counselor 225C00000X CA

Addresses

Primary practice location

500 E Olive Ave Ste 540
Burbank, CA 91501-2132

Mailing address

500 E Olive Ave Ste 540
Burbank, CA 91501-2132
Phone (818) 446-2522

Other practice location 1

1540 E Colorado St
Glendale, CA 91205-1514
Phone (818) 244-7257

Other names 1

  • Lilit Abraamyan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200917002369 CA Practitioner - Clinical Psychologist 6709204043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

500 E Olive Ave
Suite 540
Burbank, CA 91501-2132
Phone (818) 446-2238

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY31671CAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Rowan Center for Behavioral Medicine, a Psychological Corporation Psychologist CurrentSince Sep 9, 2020 Accepting new patients
Rowan Center for Behavioral Medicine, a Psychological Corporation Psychologist CurrentSince Sep 9, 2020 Accepting new patients

Locations

500 E Olive Ave
Ste 540
Burbank, CA 91501
Phone (818) 446-2238

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1710433289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E OLIVE AVE STE 540",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915012132",
            "telephone_number": "818-446-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E OLIVE AVE STE 540",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915012132",
            "telephone_number": "818-446-2522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1540 E Colorado St",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912051514",
            "country_code": "US",
            "telephone_number": "818-244-7257",
            "fax_number": "818-243-5431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABRAAMYAN-CHAIDEZ",
        "first_name": "LILIT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-25",
        "last_updated": "2020-12-22",
        "certification_date": "2020-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY31671",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225C00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILIT",
            "last_name": "ABRAAMYAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.