MIKE TAMASSIAN (NPI# 1295805133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295805133 |
| Entity Type | Individual |
| Full Name | MIKE TAMASSIAN |
| Credential | PHD |
| Practice Address |
1101 N Pacific Ave 204 Glendale CA 91202-3250 |
| Practice Telephone | 8183965343 |
| Mailing Telephone | 8183965343 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2017-01-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PSY19694 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00CP196940 | 05 |
| Street Address |
1101 N PACIFIC AVE 204 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91202-3250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487621801 | Robert Tadashi Hatanaka | Podiatrist | 1101 N Pacific Ave, Ste 104, Glendale, CA 91202 | 2006-03-03 |
| 1346740966 | Lilit Hovnanian | Pharmacist | 1101 N Pacific Ave, Glendale, CA 91202-3250 | 2018-02-20 |
| 1457809758 | California Therapy Center and Psychological Services Inc | Psychologist | 1101 N Pacific Ave, Suite 204, Glendale, CA 91202-3250 | 2016-09-14 |
| 1255603791 | Talin Talin Arakelian | Pharmacist | 1101 N Pacific Ave, 101, Glendale, CA 91202-3250 | 2012-01-30 |
| 1962632844 | Alfret Moradian Md,a Medical Corporation | Clinic/Center | 1101 N Pacific Ave, Suite 102, Glendale, CA 91202-3250 | 2009-07-25 |
| 1467682831 | Gilda Torossian | Dentist | 1101 N Pacific Ave, #202, Glendale, CA 91202-3250 | 2009-07-20 |
| 1457598385 | Maria Leviste Md Inc. | Internal Medicine | 1101 N Pacific Ave, Suite #103, Glendale, CA 91202-3250 | 2009-01-14 |
| 1235389164 | Armen Kazanchian Md Inc | Internal Medicine | 1101 N Pacific Ave, # 103, Glendale, CA 91202-3250 | 2008-09-29 |
| 1821257437 | Clinica Medica Santa Isabel Inc | General Practice | 1101 N Pacific Ave, Suite 104, Glendale, CA 91202-4313 | 2008-06-09 |
| 1134311921 | Anna Gevorkyan | Pharmacist | 1101 N Pacific Ave, Suite 101, Glendale, CA 91202-4310 | 2007-08-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528538857 | Forever Active Cbas | Clinic/Center | 1111 W Glenoaks Blvd, Glendale, CA 91202 | 2018-11-29 |
| 1144724436 | Kristine Bustos | Nurse Practitioner | 1200 N Pacific Ave Ste 104, Glendale, CA 91202 | 2018-03-21 |
| 1295159614 | Kevin Lew | Dentist | 1122 N. Brand Blvd. Suite 102, Glendale, CA 91202 | 2014-02-05 |
| 1568709350 | Helen Chalakians | Counselor | 525 Glenwood Rd, Glendale, CA 91202 | 2013-01-14 |
| 1316216161 | Teresa Eligio | Nurse Practitioner | 857 Grant Ave, Glendale, CA 91202 | 2011-12-23 |
| 1033486139 | Advance Hospice Care, Inc. | Home Health | 1209 N. Central Ave Suite 204, Glendale, CA 91202 | 2011-11-18 |
| 1659518785 | Sarine Davityan | Marriage & Family Therapist | 1010 N Central Ave # 310, Glendale, CA 91202 | 2009-01-12 |
| 1760635619 | Tatiana Mikaelian Dds Inc | Dentist | 1209 N. Central Ave, #203, Glendale, CA 91202 | 2008-10-23 |
| 1669624219 | Marine Demirjian | Allergy & Immunology | 1131 N Pacific Ave, Glendale, CA 91202 | 2008-10-15 |
| 1902055783 | Lousine Vahagn Kirakosian | Dentist | 125 E. Glenoaks Blvd., Suite 103, Glendale, CA 91202 | 2008-09-16 |
| Find all providers in zip 91202 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508401266 | Patricia Lavallee | Psychologist | 6128 W Mcrae Way, Glendale, AZ 85308-7635 | 2019-11-16 |
| 1831422930 | Jeanette I Lantz | Psychologist | 601 E. Glenoaks Blvd, Suite 102, Glendale, CA 91207 | 2009-09-09 |
| 1962462093 | John M O'donnell | Psychologist | 5225 N Ironwood Ln, Suite # 212, Glendale, WI 53217-4909 | 2006-03-24 |
| 1780892026 | Marty Sapp | Psychologist | 6110 N Port Washington Rd, Glendale, WI 53217-4308 | 2007-05-18 |
| 1912093162 | Frank Paul Urtz | Psychologist | 6110 N Port Washington Rd, Glendale, WI 53217-4308 | 2006-10-05 |
| 1700893336 | Marylin Calzadilla | Psychologist | 1530 E Chevy Chase Dr, Suite 204, Glendale, CA 91206-4163 | 2006-08-03 |
| 1467490987 | Patricia K Masuda-story | Psychologist | 100 N Brand Blvd, Suite 316, Glendale, CA 91203-2641 | 2006-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336746650 | Alexandria Marie Schick | Psychologist | 2785 Cold Springs Rd Apt 31, Placerville, CA 95667-3240 | 2020-10-08 |
| 1841804853 | Nia Mayers Franklin | Psychologist | 8940 S Hobart Blvd, Los Angeles, CA 90047-3615 | 2020-09-08 |
| 1871104307 | Erania Marie Martin-lang | Psychologist | 13329 Arbor Park Ln, Moreno Valley, CA 92553-6916 | 2020-08-10 |
| 1366051070 | Shellie Renae Higuera | Psychologist | 5059 Day Dr, Fairfield, CA 94533-6597 | 2020-07-28 |
| 1730706979 | Oak Forest Recovery Center, Inc. | Psychologist | 5655 Lindero Canyon Rd Ste 425, Westlake Village, CA 91362-4046 | 2020-07-04 |
| 1861016842 | Valley Harvest Church of Merced | Psychologist | 557 W 26th St, Merced, CA 95340-2825 | 2020-06-04 |
| 1629691993 | Franklin Clifford Wimberly | Psychologist | 10 Pleasant Walk, Aliso Viejo, CA 92656-4266 | 2020-05-21 |
| 1790325694 | Pacific Forensic Psychology Associates, Inc | Psychologist | 19230 Sonoma Highway, Building 200, Sonoma, CA 95476 | 2020-01-09 |
| 1386282762 | Danielle Wischenka | Psychologist | 155 E Campbell Ave Ste 219, Campbell, CA 95008-2062 | 2019-12-16 |
| 1528525326 | Sylvia Cary | Psychologist | 4650 Sepulveda Blvd Apt 201, Sherman Oaks, CA 91403-2462 | 2019-02-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.