ELIZA KHANJIAN (NPI# 1245390566) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245390566 |
| Entity Type | Individual |
| Full Name | ELIZA KHANJIAN |
| Credential | PHD |
| Practice Address |
1101 N Pacific Ave Ste 204 Glendale CA 91202-4316 |
| Mailing Address |
415 W Route 66 Ste 202 Glendora CA 91740-4335 |
| Practice Telephone | 8183965343 |
| Practice Fax Number | 8185613997 |
| Mailing Telephone | (626) 963-4467 |
| Mailing Fax Number | 6269639543 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2017-07-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
PSY19586 | CA | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY19586 | CA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00CP195860 | 05 |
| Street Address |
1101 N PACIFIC AVE STE 204 |
| City | GLENDALE |
| State | CA |
| Zip Code | 91202-4316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124673447 | John Brent Lague | Psychologist | 1101 N Pacific Ave Ste 204, Glendale, CA 91202-4316 | 2019-08-04 |
| 1306329537 | Elizabeth Chulack | Psychologist | 1101 N Pacific Ave Ste 204, Glendale, CA 91202-4316 | 2018-09-13 |
| 1568908903 | Linda Qasabian | Marriage & Family Therapist | 1101 N Pacific Ave Ste 204, Glendale, CA 91202-4316 | 2017-01-09 |
| 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 | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881197291 | Anush Gagua | Psychologist | 230 N Maryland Ave Ste 209, Glendale, CA 91206-4282 | 2018-03-12 |
| 1528374154 | Amanda Octavia Nichole Hardy | Psychologist | 7219 N Litchfield Rd, Glendale, AZ 85309-1529 | 2010-08-20 |
| 1043376734 | Ted Terry Bruce | Psychologist | 6110 N Port Washington Rd, Glendale, WI 53217 | 2006-12-28 |
| 1033207386 | Caroline G Schmidt | Psychologist | 5555 N Port Washington Rd, Suite 200, Glendale, WI 53217-4929 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376368 | Jamie L Krause | Psychologist | 2134 N Lincoln St Apt 1/2, Burbank, CA 91504-3349 | 2020-11-07 |
| 1861090441 | Illuminating Psychological Services Corporation | Psychologist | 4181 Flat Rock Dr Ste 311, Riverside, CA 92505-7106 | 2020-10-15 |
| 1194322495 | Yong Sue Park | Psychologist | 1913 Wilshire Blvd, Los Angeles, CA 90057-3604 | 2020-10-08 |
| 1811594815 | Dena Schwimmer | Psychologist | 1227 S Genesee Ave, Los Angeles, CA 90019-2407 | 2020-10-03 |
| 1932716222 | Changing Directions Psychological Corporation | Psychologist | 17280 Newhope Street, Suite 4, Fountain Valley, CA 92708 | 2020-09-30 |
| 1932711413 | Tonja M Jackson | Psychologist | 23213 Lynn St, Hayward, CA 94541-7426 | 2020-08-17 |
| 1720606593 | Brejaynae S Joiner | Psychologist | 2310 Mcginley Ave, Antioch, CA 94509-3819 | 2020-07-08 |
| 1407474596 | Devjani Banerjee-stevens | Psychologist | 15 Williamsburg Ln Ste A, Chico, CA 95926-5520 | 2020-07-06 |
| 1255952842 | Sarah E. Wilson, Phd, A Professional Psychology Corporation | Psychologist | 23 Altarinda Road, Suite 201, Orinda, CA 94563 | 2020-05-05 |
| 1427684661 | Lucy Cotter | Psychologist | 205 N Larchmont Blvd, Los Angeles, CA 90004-3706 | 2020-03-19 |
| Find all providers with the same taxonomy | ||||
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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.