A.M.P. Autism Inc
Organization Active NPI Clinical Psychologist · Encino, CA
NPI 1780140574 · NPPES record last updated Feb 16, 2019
Key facts
- NPI
- 1780140574
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- Legal business name
- A.M.P. AUTISM INC
- Practice address
- 16944 Ventura Blvd Ste 27
Encino, CA 91316-4146 - Phone
- (818) 517-3328
- NPI assigned
- Feb 16, 2019
- Organization subpart
- No
Authorized official
- Name
- Dr. Tamar Lisa Apelian, PSY. D.
- Title
- Owner
- Phone
- (818) 517-3328
Practitioners 17
-
Tamar Lisa Apelian, PSY.D.
-
Shant Boyadjian, LMFT
-
Lisa Marie Brunelle, PH.D.
-
Monica Ganz Geller, PSYD
-
Darlene Sylvia Hourany, M.S., LMFT
-
Jennifer Kopczynski, LMFT
-
Saman Mohseni, PH.D.
-
Lindsay Nakamura, LMFT, 114180
-
Rebecca Schubert, LMFT
-
Carly A Schwartz, PSY.D.
-
Deborah A. Whitcomb, M.A.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190823002271 | CA | Part B Supplier - Clinic/Group Practice | 5890023162 |
Receives reassigned benefits from 1 practitioner Practice locations: Encino, CA; Granada Hills, CA |
National Provider Directory
Locations
16944 Ventura Blvd
Ste 27
Encino, CA 91316
Phone (818) 517-3328
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | Yes |
Addresses
Primary practice location
16944 Ventura Blvd Ste 27
Encino, CA 91316-4146
Mailing address
16944 Ventura Blvd Ste 27
Encino, CA 91316-4146
Phone (818) 517-3328
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All providers in Encino, CA · Clinical Psychologist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.