Tiran Ambartsumyan, PSY. D

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT137278 Issued in CA

Practice address

100 N Brand Blvd Ste 210
Glendale, CA 91203-2642

Phone

(818) 399-1214

Fax

(818) 572-0039

NPI assigned

May 9, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Marriage and Family Therapist

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Psych Therapy Professionals

  • Marriage & Family Therapist
  • Glendale, CA
  • NPI 1528758091
  Medicare reassignment NPD Authorized official
• Psychiatry and Mental Health, a Physician Assistant Corporation

  • Physician Assistant
  • Northridge, CA
  • NPI 1538044565
  Medicare reassignment

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1770149213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N BRAND BLVD STE 210",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032642",
            "telephone_number": "818-399-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N BRAND BLVD STE 210",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912032642",
            "telephone_number": "818-399-1214",
            "fax_number": "818-572-0039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBARTSUMYAN",
        "first_name": "TIRAN",
        "name_prefix": "Dr.",
        "credential": "PSY. D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-09",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT137278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ama Supplies Inc
• Amaiak Chilingaryan, M.D., Inc
• Amalia a. Armenta, MD, Apc
• Tatevik Tina Ambartsoumian, FNP
• Aileen Ambartsumyan, FNP
• Ambiance Transportation Co LLC
• Abigail Ambriz
• Libni Ambrose
• Mark Ambrosio, RRT, RCP
• Ambucare

• Marriage & Family Therapist in Glendale, CA
• Providers in Glendale, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.