Active NPI
Western Pacific Psychological Network, Inc.
- Clinical Psychologist
- San Bernardino, CA
National Provider Identifier
1811179682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 21081
- Legal business name
- WESTERN PACIFIC PSYCHOLOGICAL NETWORK, INC.
- Practice address
- 435 Orange Show LN Ste 105
San Bernardino, CA 92408-2015 - Phone
- (909) 380-7740
- NPI assigned
- Dec 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Zara Ashikyan, PH.D.
- Title
- Clinical Psychologist
- Phone
- (818) 907-5491
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 21081 | CA | Primary |
Addresses
Primary practice location
435 Orange Show LN Ste 105
San Bernardino, CA 92408-2015
Mailing address
16311 Ventura Blvd Ste 977
Encino, CA 91436-4331
National Provider Directory
National Provider DirectoryLocations
301 S Fair Oaks Ave
Ste 10
Pasadena, CA 91105
Phone (818) 501-4700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196640000000",
"number": "1811179682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16311 VENTURA BLVD STE 977",
"city": "ENCINO",
"state": "CA",
"postal_code": "914364331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 ORANGE SHOW LN STE 105",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924082015",
"telephone_number": "909-380-7740"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN PACIFIC PSYCHOLOGICAL NETWORK, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-03",
"last_updated": "2007-12-03",
"status": "A",
"authorized_official_last_name": "ASHIKYAN",
"authorized_official_first_name": "ZARA",
"authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
"authorized_official_telephone_number": "818-907-5491",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "21081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.