Stephan Simonian MD Apc

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Legal business name

STEPHAN SIMONIAN MD APC

Practice address

1141 N Brand Blvd
Suite # 306
Glendale, CA 91202-2511

Phone

(818) 551-1118

Fax

(818) 551-1955

NPI assigned

Apr 23, 2010

Last updated

Jun 8, 2010By 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

Stephan Simonian, M.D.NPI 1104924208

Title

President

Phone

(818) 551-1118

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, and the practitioner matching its NPPES authorized official.

• Stephan Simonian, M.D.

  • Mental Health Counselor
  • Glendale, CA
  • NPI 1104924208
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275955200000",
    "number": "1871810374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 N BRAND BLVD",
            "address_2": "SUITE # 306",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022511",
            "telephone_number": "818-551-1118",
            "fax_number": "818-551-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 N BRAND BLVD",
            "address_2": "SUITE # 306",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912022511",
            "telephone_number": "818-551-1118",
            "fax_number": "818-551-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHAN SIMONIAN MD APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-06-08",
        "status": "A",
        "authorized_official_last_name": "SIMONIAN",
        "authorized_official_first_name": "STEPHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-551-1118",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syuzanna Stepanyan, PHARMACIST
• Tigran Stepanyan
• Yeranui Stepanyan, MSN, FNP-C
• Stephan Grigorian MD Inc (Glenpath Diagnostics)
• Stephan Moradians DDS a Prof. Corp
• Michael Stephan
• Stepping Stones Behavioral Therapies
• Steps to Heaven Services, LLC
• Cynthia Erica Stern, PHD, LMFT
• Alberto Stevans

• Child & Adolescent Psychiatry Physician in Glendale, CA
• Providers in Glendale, CA by specialty
• Child & Adolescent Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; 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.