Organization Active NPI

Heyday Family Counseling Services Apc Inc

  • Marriage & Family Therapist
  • Glendale, CA
National Provider Identifier
1871101402
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
HEYDAY FAMILY COUNSELING SERVICES APC INC
Practice address
1121 San Rafael Ave Apt 2
Glendale, CA 91202-2438
Phone
(818) 497-8406
NPI assigned
Jul 20, 2020
Last updated
Mar 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Authorized official

Name
Dr. Shushan Vartani Kalantaryan, LMFT, PSYDNPI 1144674128
Title
Ceo
Phone
(818) 497-8406

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

1121 San Rafael Ave Apt 2
Glendale, CA 91202-2438

Mailing address

1146 N Central Ave Ste 621
Glendale, CA 91202-2506
Phone (818) 497-8406

Other names 1

  • Heyday Family Counseling Services APC INC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240307003591 CA Part B Supplier - Clinic/Group Practice 9234575655 Receives reassigned benefits from 2 practitioners
Practice locations: Glendale, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1871101402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1146 N CENTRAL AVE STE 621",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022506",
            "telephone_number": "818-497-8406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 SAN RAFAEL AVE APT 2",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022438",
            "telephone_number": "818-497-8406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEYDAY FAMILY COUNSELING SERVICES APC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-20",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "KALANTARYAN",
        "authorized_official_first_name": "SHUSHAN",
        "authorized_official_middle_name": "VARTANI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-497-8406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMFT, PSYD"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heyday Family Counseling Services APC INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.