Organization Active NPI

A.M.P. Autism Inc

  • Clinical Psychologist
  • Encino, CA
National Provider Identifier
1780140574
Registry record updated Feb 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 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
Last updated
Feb 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2019

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

Authorized official

Name
Dr. Tamar Lisa Apelian, PSY. D.NPI 1841581584
Title
Owner
Phone
(818) 517-3328

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory

Locations

16944 Ventura Blvd
Ste 27
Encino, CA 91316
Phone (818) 517-3328

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1550275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550275200000",
    "number": "1780140574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16944 VENTURA BLVD STE 27",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164146",
            "telephone_number": "818-517-3328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16944 VENTURA BLVD STE 27",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164146",
            "telephone_number": "818-517-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A.M.P. AUTISM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-16",
        "last_updated": "2019-02-16",
        "status": "A",
        "authorized_official_last_name": "APELIAN",
        "authorized_official_first_name": "TAMAR",
        "authorized_official_middle_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-517-3328",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY. D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.