Family Therapy la Professional Psychology Corporation

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

FAMILY THERAPY LA PROFESSIONAL PSYCHOLOGY CORPORATION

Practice address

14540 Victory Blvd Ste 101
Van Nuys, CA 91411-1697

Phone

(818) 512-2172

NPI assigned

Nov 3, 2020

Organization subpart

No

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

Authorized official

Name

Bita Nazarian, PSYDNPI 1932671518

Title

Owner

Phone

(818) 512-2172

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bita Nazarian, PSYD

  • Clinical Psychologist
  • Van Nuys, CA
  • NPI 1932671518
  NPD Authorized official

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604361600000",
    "number": "1710588181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14540 VICTORY BLVD STE 101",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111697",
            "telephone_number": "818-512-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14540 VICTORY BLVD STE 101",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914111697",
            "telephone_number": "818-512-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY THERAPY LA PROFESSIONAL PSYCHOLOGY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A",
        "authorized_official_last_name": "NAZARIAN",
        "authorized_official_first_name": "BITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-512-2172",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Health Services, Inc.
• Family Hearing Center
• Family Hope Home Health Care Inc
• Family Medical Supply
• Family One Hospice & Palliative Care
• Fanping Wang, M.D., Inc.
• Shahram Shawn Farahvash, M.D.
• Sara Farazdaghi
• Tara Farazian
• Hormoz Farhat, MD

• Multi-Specialty Clinic/Center in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Multi-Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.