| Dadoyan Behavioral Medical Group Inc | |
|
4955 Van Nuys Blvd Ste 301 Sherman Oaks CA 91403-1815 | |
| (818) 461-8911 | |
| (818) 688-0292 |
| Full Name | Dadoyan Behavioral Medical Group Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4955 Van Nuys Blvd Ste 301, Sherman Oaks, California |
| Authorized Official Name and Position | Talin A Dadoyan (PRESIDENT) |
| Authorized Official Contact | 8184618911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dadoyan Behavioral Medical Group Inc 13351 D Riverside Drive #246 Sherman Oaks CA 91423-2542 Ph: (818) 461-8911 | Dadoyan Behavioral Medical Group Inc 4955 Van Nuys Blvd Ste 301 Sherman Oaks CA 91403-1815 Ph: (818) 461-8911 |
| NPI Number | 1841687878 |
|---|---|
| Provider Enumeration Date | 04/16/2015 |
| Last Update Date | 08/07/2023 |
| Certification Date | 08/03/2023 |
| Medicare PECOS PAC ID | 8325358054 |
|---|---|
| Medicare Enrollment ID | O20151110001294 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841687878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 52825 (California) | Primary |
| Provider Name | Shannon M Dobbs |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205092046 PECOS PAC ID: 6507928629 Enrollment ID: I20081229000065 |
| Provider Name | Talin A Dadoyan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801908397 PECOS PAC ID: 8729079199 Enrollment ID: I20100708000365 |
| Provider Name | Traci V Babcock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790071587 PECOS PAC ID: 9830367416 Enrollment ID: I20110726000672 |
| Provider Name | Roberto Zarate |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790811248 PECOS PAC ID: 6204145089 Enrollment ID: I20151016002256 |
| Provider Name | Rochelle B Karapetian |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952733867 PECOS PAC ID: 3577838002 Enrollment ID: I20171009001931 |
| Provider Name | Hagop Jack Mkroyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104479179 PECOS PAC ID: 4688906001 Enrollment ID: I20191104001782 |
| Provider Name | Allison L Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003430430 PECOS PAC ID: 8729400700 Enrollment ID: I20200619001763 |
| Provider Name | Andre Alexandrian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407469554 PECOS PAC ID: 6103233960 Enrollment ID: I20210324001112 |
| Provider Name | Marrah D. Z. Elorza |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538651765 PECOS PAC ID: 6103227673 Enrollment ID: I20210622003222 |
| Provider Name | Annie Zadori |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912386913 PECOS PAC ID: 0840698049 Enrollment ID: I20211001000812 |
| Provider Name | Araz Abelian Barilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457006017 PECOS PAC ID: 2264811744 Enrollment ID: I20220614003005 |
| Provider Name | Josetta Rose Kovitch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396520243 PECOS PAC ID: 8628423183 Enrollment ID: I20231018003042 |
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