Individual provider Active NPI

Rozmary Tatevosian, MA

  • Psychologist
  • Sherman Oaks, CA
National Provider Identifier
1861114639
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
14930 Ventura Blvd Ste 230
Sherman Oaks, CA 91403-3487
Phone
(818) 570-1636
NPI assigned
Sep 16, 2022
Last updated
Sep 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

14930 Ventura Blvd Ste 230
Sherman Oaks, CA 91403-3487

Mailing address

7345 Leescott Ave
Lake Balboa, CA 91406-2625
Phone (818) 823-6279

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Inga Simonian, PHD Psychology Group, Inc. CurrentSince Sep 20, 2022 Accepting new patients

Locations

14930 Ventura Blvd
Ste 230
Sherman Oaks, CA 91403
Phone (818) 570-1636

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1861114639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7345 LEESCOTT AVE",
            "city": "LAKE BALBOA",
            "state": "CA",
            "postal_code": "914062625",
            "telephone_number": "818-823-6279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14930 VENTURA BLVD STE 230",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914033487",
            "telephone_number": "818-570-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATEVOSIAN",
        "first_name": "ROZMARY",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.