Maria I. Seliverstov, MD Inc.

Primary specialty

Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X

License

A066938 Issued in CA

Legal business name

MARIA I. SELIVERSTOV, MD INC.

Practice address

4835 Van Nuys Blvd
#104
Sherman Oaks, CA 91403

Phone

(818) 986-9232

Fax

(818) 986-9716

NPI assigned

Jul 13, 2005

Last updated

Nov 6, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maria I. Seliverstov, MDNPI 1457520009

Title

Ceo

Phone

(818) 986-9232

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

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.

• Maria I Seliverstov, M.D.

  • Psychiatry Physician
  • Sherman Oaks, CA
  • NPI 1457520009
  Medicare reassignment NPD Authorized official
• Elham Hamzeh, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Canoga Park, CA
  • NPI 1265041511
  NPD
• Thomas Merrill Shiovitz, MD

  • Psychiatry Physician
  • Sherman Oaks, CA
  • NPI 1942309851
  NPD (past)

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1841298775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4835 VAN NUYS BLVD",
            "address_2": "#104",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "91403",
            "telephone_number": "818-986-9232",
            "fax_number": "818-986-9716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4835 VAN NUYS BLVD",
            "address_2": "#104",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "91403",
            "telephone_number": "818-986-9232",
            "fax_number": "818-986-9716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA I. SELIVERSTOV, MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "SELIVERSTOV",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-986-9232",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "CA",
            "license": "A066938",
            "primary": true
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "CA",
            "license": "A066938",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A669380",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ani Mardirossian, NP
• Talar Mardirossian
• Brandon Maret
• Margaret N. Zepfel, DC
• Michelle I Margules, PSY.D.
• Danielle Elizabeth Marianacci
• Herman Marinero
• Mark B. Braunstein, MD Inc
• Mark Farber, M.D., Inc.
• Mark Greenspan (Mark Greenspan M.D.)

• Geriatric Psychiatry Physician in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• Geriatric Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.