MEDICARE: FINANCIAL PSYCHOLOGY CENTER INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1518610930
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FINANCIAL PSYCHOLOGY CENTER INC

Provider Business Mailing Address
First Line	:	5571 EL CANON AVE
Second Line	:
City	:	WOODLAND HILLS
State	:	CA
Zip	:	91367-4073
Country	:	US
Telephone Number	:	310-266-9508
Fax Number	:

Provider Business Practice Location Address
First Line	:	28035 DOROTHY DR STE 110
Second Line	:
City	:	AGOURA HILLS
State	:	CA
Zip	:	91301-4917
Country	:	US
Telephone Number	:	818-600-2264
Fax Number	:	877-709-0801

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ALEX MELKUMIAN
Credential	:	PSYD, LMFT
Telephone Number	:	310-266-9508

Provider Enumeration Date	:	01/27/2022
Last Update Date	:	01/27/2022

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