| California Therapy Center & Psychological Services Inc | |
|
595 E Colorado Blvd Ste 205 Pasadena CA 91101-2028 | |
| (818) 396-5343 | |
| (818) 561-3997 |
| Full Name | California Therapy Center & Psychological Services Inc |
|---|---|
| Speciality | Psychologist |
| Location | 595 E Colorado Blvd Ste 205, Pasadena, California |
| Authorized Official Name and Position | Eliza Khanjian (CLINICAL PSYCHOLOGIST/ CO-FOUNDER) |
| Authorized Official Contact | 8183965343 |
| 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 Po Box 250 La Canada Flintridge CA 91012-0250 Ph: (818) 396-5343 | California Therapy Center & Psychological Services Inc 595 E Colorado Blvd Ste 205 Pasadena CA 91101-2028 Ph: (818) 396-5343 |
| NPI Number | 1457809758 |
|---|---|
| Provider Enumeration Date | 09/14/2016 |
| Last Update Date | 02/03/2025 |
| Certification Date | 02/03/2025 |
| Medicare PECOS PAC ID | 5991081416 |
|---|---|
| Medicare Enrollment ID | O20170418002589 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457809758 | NPI | - | NPPES |
| 00CP196940 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 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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