Arek Avedis Yetenekian

Primary specialty

PsychologistTaxonomy code 103T00000X

License

33507 Issued in CA

Practice address

14535 Sherman Cir
Van Nuys, CA 91405-3087

Phone

(818) 901-4930

NPI assigned

Jul 18, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Positive Psychology IncGroup PAC ID 4981820347, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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

• Positive Psychology Inc.

  • Psychologist
  • San Diego, CA
  • NPI 1073927588
  Medicare reassignment Care Compare group NPD
• San Fernando Community Mental Health Center

  • Community/Behavioral Health Agency
  • Van Nuys, CA
  • NPI 1295016798
  NPD (past)

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

{
    "created_epoch": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1881982445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14535 SHERMAN CIR",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053087",
            "telephone_number": "818-901-4930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14535 SHERMAN CIR",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914053087",
            "telephone_number": "818-901-4930"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6842 Van Nuys Blvd #6",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914054653",
            "country_code": "US",
            "telephone_number": "818-901-4803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YETENEKIAN",
        "first_name": "AREK",
        "middle_name": "AVEDIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-18",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "33507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yemi Oguntolu
• Susan Georgetta Yepremyan
• John Yermian, M.D.
• Anastasia Yerofeyeva
• Gladys Hope Dadivas Yerro, MD
• Gebrehiwot Hailu Yibalih, FNP
• Justin Luu Yik, PHARMD
• Ym Drugs Corp
• Yolo Home Health Care Inc
• David Luke Yoo

• Psychologist in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.