DR. AUDREY KHATCHIKIAN (NPI# 1780775742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780775742 |
| Entity Type | Individual |
| Full Name | DR. AUDREY KHATCHIKIAN |
| Credential | PHD |
| Practice Address |
100 N Brand Blvd #507 Glendale CA 91203-2614 |
| Mailing Address |
100 N Brand Blvd #606 Glendale CA 91203-2614 |
| Practice Telephone | 8184760066 |
| Practice Fax Number | 8182465532 |
| Mailing Telephone | 8184760066 |
| Mailing Fax Number | 8182465532 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2013-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | PSY18823 | CA | Behavioral Health & Social Service Providers |
| Street Address |
100 N BRAND BLVD #507 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91203-2614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003865767 | Brand Diagnostic Center,inc | Physiological Laboratory | 100 N Brand Blvd, Suite 532, Glendale, CA 91203-2641 | 2006-05-09 |
| 1528436722 | Carol Aslan | Psychologist | 100 N Brand Blvd, Ste 416, Glendale, CA 91203-2614 | 2015-09-04 |
| 1922475102 | Care More Home Care Inc | Nursing Care | 100 N Brand Blvd, Glendale, CA 91203-2641 | 2015-08-24 |
| 1205245271 | A & A Psychological Services, Inc. | Psychologist | 100 N Brand Blvd, 209, Glendale, CA 91203-2641 | 2014-08-04 |
| 1407287907 | Sara Lee | Social Worker | 100 N Brand Blvd, Suite 200, Glendale, CA 91203-2641 | 2013-12-09 |
| 1356688394 | Patricia Pulido | Psychologist | 100 N Brand Blvd, Suite 603, Glendale, CA 91203-2641 | 2013-01-10 |
| 1477805992 | Connect Hearing, Inc. | Audiologist | 100 N Brand Blvd, Suite 203, Glendale, CA 91203-2657 | 2012-10-08 |
| 1871867614 | Thomas C. Olona, Psychologist, Professional Corporation | Psychologist | 100 N Brand Blvd, Suite 603, Glendale, CA 91203-2641 | 2012-02-25 |
| 1629248208 | Elizabeth Ann Razzano | Psychologist | 100 N Brand Blvd, 6th Floor, Glendale, CA 91203-2641 | 2008-03-10 |
| 1407034267 | Careen Young | Audiologist | 100 N Brand Blvd, Suite 223, Glendale, CA 91203-2641 | 2008-02-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487115044 | Family & Friends Home Health Care Inc | Home Health | 417 W Arden St Suite 106a, Glendale, CA 91203 | 2019-03-27 |
| 1801354758 | Remedy Medical of California PC | Emergency Medicine | 138 N. Brand Blvd., Ste. 200, Unit 163, Glendale, CA 91203 | 2019-03-11 |
| 1609381730 | Envoy Hospice Care Inc | Hospice Care, Community Based | 5002 N Central Ave Ste 510, Glendale, CA 91203 | 2017-12-12 |
| 1093227712 | Goarik Susan Akopyan | Case Manager/Care Coordinator | 237 N Central Ave, Glendale, Ca 91203, Glendale, CA 91203 | 2017-11-03 |
| 1588190664 | Vanessa Guzman | Physician Assistant | 600 N. Central Ave, 322, Glendale, CA 91203 | 2017-05-10 |
| 1114465796 | Elizabeth Pedroza Estrada | Case Manager/Care Coordinator | 237 North Glendale, Glendale, CA 91203 | 2017-02-03 |
| 1477090934 | Blue Med-ride Medical Transportation | Non-emergency Medical Transport (VAN) | 121 W Lexington Dr # L200, Glendale, CA 91203 | 2017-01-23 |
| 1427593557 | Ofelia Oundjian | Counselor | 237 N Central Ave., Glendale, CA 91203 | 2016-12-28 |
| 1316396823 | Shaunak Jaiprakash Intwala | Pharmacist | 330 N Brand Blvd Ste 155, Glendale, CA 91203 | 2016-06-06 |
| 1295117315 | Luis Ernesto Garcia Artiga | Licensed Vocational Nurse | 500 N Central Ave Suite 250, Glendale, CA 91203 | 2015-06-25 |
| Find all providers in zip 91203 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558762575 | Zyanya Mendoza | Clinical Neuropsychologist | 1560 E Chevy Chase Dr Ste 140, Glendale, CA 91206 | 2014-09-09 |
| 1891108031 | Charles Pilavian | Clinical Neuropsychologist | 138 N Brand Blvd Ste 300, Glendale, CA 91203 | 2014-06-05 |
| 1205034691 | Lovingly Quitania Park | Clinical Neuropsychologist | 1560 E Chevy Chase Dr Ste 355, Glendale, CA 91206-4159 | 2007-07-06 |
| 1932317229 | John William St. Clair | Clinical Neuropsychologist | 6222 W Caribbean Ln, Glendale, AZ 85306-5206 | 2007-05-18 |
| 1184792293 | Alicia Susana Hansen | Clinical Neuropsychologist | 524 N Maryland Ave Apt 1, Glendale, CA 91206-2266 | 2006-11-30 |
| 1457381501 | Margaret Ann Donohue | Clinical Neuropsychologist | 135 S Jackson St Ste 204, Glendale, CA 91205-4918 | 2006-07-04 |
| 1932146172 | Diane Marie Mosnik | Clinical Neuropsychologist | 6110 N Port Washington Rd, Glendale, WI 53217-4308 | 2006-05-31 |
| 1477534634 | Michael Forbes Warden | Clinical Neuropsychologist | 7155 W Campo Bello Dr Ste C120, Glendale, AZ 85308-8594 | 2005-11-07 |
| 1194330266 | Sarah Yassin | Clinical Neuropsychologist | 6677 W Thunderbird Rd Ste D148, Glendale, AZ 85306-3769 | 2020-09-15 |
| 1376922617 | Lovingly Quitania Park, Ph.d. | Clinical Neuropsychologist | 1560 E Chevy Chase Dr, Glendale, CA 91206-4197 | 2015-05-19 |
| Find all providers in GLENDALE | ||||
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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.