Shoghair Mgrditchian Family and Individual Therapy Inc

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

SHOGHAIR MGRDITCHIAN FAMILY AND INDIVIDUAL THERAPY INC

Practice address

2505 Foothill Blvd Ste D
La Crescenta, CA 91214-4555

Phone

(661) 524-9932

Fax

(661) 524-9950

NPI assigned

Nov 7, 2022

Organization subpart

No

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

Authorized official

Name

Shoghair Mgrditchian, LMFTNPI 1063557767

Title

LMFT/Owner

Phone

(626) 644-6632

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

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

• Shoghair Christine Mgrditchian

  • Marriage & Family Therapist
  • Glendale, CA
  • NPI 1063557767
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1851008189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9558 INSPIRATION WAY",
            "city": "TUJUNGA",
            "state": "CA",
            "postal_code": "910423018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 FOOTHILL BLVD STE D",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912144555",
            "telephone_number": "661-524-9932",
            "fax_number": "661-524-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHOGHAIR MGRDITCHIAN FAMILY AND INDIVIDUAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "MGRDITCHIAN",
        "authorized_official_first_name": "SHOGHAIR",
        "authorized_official_title_or_position": "LMFT/OWNER",
        "authorized_official_telephone_number": "626-644-6632",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in La Crescenta, CA
• Providers in La Crescenta, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.