Individual provider Active NPI

Rochelle Brooke Karapetian

  • Clinical Psychologist
  • Sherman Oaks, CA
National Provider Identifier
1952733867
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY29355 Issued in CA
Practice address
4955 Van Nuys Blvd Ste 301
Sherman Oaks, CA 91403-1815
Phone
(818) 461-8911
NPI assigned
Aug 1, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Clinical Psychologist 103TC0700X PSY29355 CA Primary

Addresses

Primary practice location

4955 Van Nuys Blvd Ste 301
Sherman Oaks, CA 91403-1815

Mailing address

1827 Calafia St
Glendale, CA 91208-2303
Phone (818) 281-3411

Other practice location 1

2650 Jones Way
#10
Simi Valley, CA 93065-1203
Phone (805) 522-1844

Other names 1

  • Rochelle Brooke Shabanian Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20171009001931 CA Practitioner - Clinical Psychologist 3577838002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dadoyan Behavioral Medical Group IncGroup PAC ID 8325358054, 9 clinicians

Practice addresses (Care Compare)

5000 Van Nuys Blvd
Suite 202
Sherman Oaks, CA 91403-1717
Phone (818) 461-8911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY29355CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Root & Grow Health Psychological Services, Inc. Psychologist Current Accepting new patients

Locations

5000 Van Nuys Blvd
Ste 202
Sherman Oaks, CA 91403
Phone (818) 461-8911

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1375315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1952733867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1827 CALAFIA ST",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912082303",
            "telephone_number": "818-281-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 VAN NUYS BLVD STE 301",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914031815",
            "telephone_number": "818-461-8911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2650 Jones Way",
            "address_2": "#10",
            "address_purpose": "LOCATION",
            "city": "Simi Valley",
            "state": "CA",
            "postal_code": "930651203",
            "country_code": "US",
            "telephone_number": "805-522-1844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KARAPETIAN",
        "first_name": "ROCHELLE",
        "middle_name": "BROOKE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-01",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY29355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROCHELLE",
            "last_name": "SHABANIAN",
            "middle_name": "BROOKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sherman Oaks, CA

Sources for this page

Verify at the official NPI Registry.