Individual provider Active NPI

Sarine Boyadjian, PSY.D., LMFT

  • Marriage & Family Therapist
  • Porter Ranch, CA
National Provider Identifier
1992985154
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
55585 Issued in CA
Practice address
18849 Muirkirk Dr
Porter Ranch, CA 91326-1036
Phone
(186) 327-4668
NPI assigned
Nov 5, 2007
Last updated
Dec 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 100293 CA
Marriage & Family Therapist 106H00000X 55585 CA Primary

Addresses

Primary practice location

18849 Muirkirk Dr
Porter Ranch, CA 91326-1036

Mailing address

PO Box 5613
Chatsworth, CA 91313-5613
Phone (818) 632-7466

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
I20240405001389 CA Practitioner - Marriage and Family Therapist 3375981681 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
100293CAMDDentist
55585CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cyti Health PC CurrentSince Jan 28, 2024 Accepting new patients

Locations

11801 Pierce St
Riverside, CA 92505
Phone (909) 528-0317

3111 Camino del Rio N
Ste 460
San Diego, CA 92108

402 W Broadway
Ste 400
San Diego, CA 92101
Phone (619) 810-1939

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1992985154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5613",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913135613",
            "telephone_number": "818-632-7466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18849 MUIRKIRK DR",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913261036",
            "telephone_number": "186-327-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYADJIAN",
        "first_name": "SARINE",
        "name_prefix": "Ms.",
        "credential": "PSY.D., LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-05",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "100293",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "55585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porter Ranch, CA

Sources for this page

Verify at the official NPI Registry.