Active NPI
Adrine Avetyan
- Marriage & Family Therapist
- Glendale, CA
National Provider Identifier
1972832681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 81525
- Practice address
- 230 N Maryland Ave Ste 303
Glendale, CA 91206 - Phone
- (818) 934-1184
- NPI assigned
- Dec 9, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 81525 | CA | Primary |
Addresses
Primary practice location
230 N Maryland Ave Ste 303
Glendale, CA 91206
Mailing address
230 N Maryland Ave Ste 303
Glendale, CA 91206-4281
Phone (818) 934-1184
Other practice location 1
16800 Devonshire St Ste 212
Granada Hills, CA 91344-7409
Phone (818) 934-1184
Other practice location 2
3655 Alamo St Ste 202
Simi Valley, CA 93063-2187
Phone (818) 934-1184
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 81525 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532563200000",
"number": "1972832681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 N MARYLAND AVE STE 303",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912064281",
"telephone_number": "818-934-1184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 N MARYLAND AVE STE 303",
"city": "GLENDALE",
"state": "CA",
"postal_code": "91206",
"telephone_number": "818-934-1184"
}
],
"practiceLocations": [
{
"address_1": "16800 Devonshire St Ste 212",
"address_purpose": "LOCATION",
"city": "Granada Hills",
"state": "CA",
"postal_code": "913447409",
"country_code": "US",
"telephone_number": "818-934-1184",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3655 Alamo St Ste 202",
"address_purpose": "LOCATION",
"city": "Simi Valley",
"state": "CA",
"postal_code": "930632187",
"country_code": "US",
"telephone_number": "818-934-1184",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AVETYAN",
"first_name": "ADRINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-09",
"last_updated": "2018-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "81525",
"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 Jul 26, 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.