NPIMap

Organization Active NPI

Mending Souls

  • Marriage & Family Therapist
  • Glendale, CA
National Provider Identifier
1801669205
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
MENDING SOULS
Practice address
1010 N Central Ave # 310
Glendale, CA 91202-2937
Phone
(818) 724-9770
Fax
(818) 484-2991
NPI assigned
Nov 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Authorized official

Name
Sarine Davityan, MFTNPI 1659518785
Title
Licensed MFT
Phone
(818) 724-9770

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
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

1010 N Central Ave # 310
Glendale, CA 91202-2937

Mailing address

1010 N Central Ave # 310
Glendale, CA 91202-2937
Phone (818) 724-9770

National Provider Directory

National Provider Directory

Locations

1010 N Central Ave
#310
Glendale, CA 91202
Phone (818) 724-9770

Practitioners & affiliated clinicians

Practitioners 25

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

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1699315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699315200000",
    "number": "1801669205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N CENTRAL AVE # 310",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022937",
            "telephone_number": "818-724-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N CENTRAL AVE # 310",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022937",
            "telephone_number": "818-724-9770",
            "fax_number": "818-484-2991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDING SOULS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-07",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "DAVITYAN",
        "authorized_official_first_name": "SARINE",
        "authorized_official_title_or_position": "LICENSED MFT",
        "authorized_official_telephone_number": "818-724-9770",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; 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.