Active NPI
Charles Pilavian, PSY.D.
- Clinical Psychologist
- Glendale, CA
National Provider Identifier
1891108031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY 21838
- Practice address
- 138 N Brand Blvd Ste 300
Glendale, CA 91203 - Phone
- (818) 669-2323
- Fax
- (818) 696-2705
- NPI assigned
- Jun 5, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PSY 21838 | CA | |
| Clinical Psychologist | 103TC0700X | PSY 21838 | CA | Primary |
Addresses
Primary practice location
138 N Brand Blvd Ste 300
Glendale, CA 91203
Mailing address
138 N Brand Blvd Ste 300
Glendale, CA 91203-4618
Phone (818) 669-2323
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 21838 | CA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534118400000",
"number": "1891108031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 N BRAND BLVD STE 300",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912034618",
"telephone_number": "818-669-2323",
"fax_number": "818-696-2705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 N BRAND BLVD STE 300",
"city": "GLENDALE",
"state": "CA",
"postal_code": "91203",
"telephone_number": "818-669-2323",
"fax_number": "818-696-2705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PILAVIAN",
"first_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-05",
"last_updated": "2018-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "CA",
"license": "PSY 21838",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 21838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Aug 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.