Organization Active NPI

Western Pacific Psychological Network, Inc.

  • Clinical Psychologist
  • San Bernardino, CA
National Provider Identifier
1811179682
Registry record updated Dec 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
21081 Issued in CA
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

Updated by the provider on Dec 3, 2007

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)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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": []
}

Other providers in San Bernardino, CA

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.

Verify at the official NPI Registry.