| California Therapy Center & Psychological Services Inc | |
|
1101 N Pacific Ave Suite 204 Glendale CA 91202-3250 | |
| (818) 396-5343 | |
| (818) 561-3997 |
| Full Name | California Therapy Center & Psychological Services Inc |
|---|---|
| Speciality | Psychologist |
| Location | 1101 N Pacific Ave, Glendale, California |
| Authorized Official Name and Position | Mike H. Tamassian (CLINICAL PSYCHOLOGIST/ PRESIDENT) |
| Authorized Official Contact | 8183965345 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| California Therapy Center & Psychological Services Inc 1101 N Pacific Ave Suite 204 Glendale CA 91202-3250 Ph: (818) 396-5343 | California Therapy Center & Psychological Services Inc 1101 N Pacific Ave Suite 204 Glendale CA 91202-3250 Ph: (818) 396-5343 |
| NPI Number | 1457809758 |
|---|---|
| Provider Enumeration Date | 09/14/2016 |
| Last Update Date | 04/29/2024 |
| Certification Date | 04/29/2024 |
| Medicare PECOS PAC ID | 5991081416 |
|---|---|
| Medicare Enrollment ID | O20170418002589 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457809758 | NPI | - | NPPES |
| 00CP196940 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY19694 (California) | Primary |
| Provider Name | Eliza Khanjian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245390566 PECOS PAC ID: 0446208037 Enrollment ID: I20050111000193 |
| Provider Name | Mike Harmik Tamassian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295805133 PECOS PAC ID: 2668420266 Enrollment ID: I20050111000236 |
| Provider Name | Cynthia Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508014143 PECOS PAC ID: 7315241874 Enrollment ID: I20160204000444 |
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