Healthcare Provider Details

I. General information

NPI: 1952733867
Provider Name (Legal Business Name): ROCHELLE BROOKE KARAPETIAN PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ROCHELLE BROOKE SHABANIAN

II. Dates (important events)

Enumeration Date: 08/01/2013
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 VAN NUYS BLVD STE 202
SHERMAN OAKS CA
91403-1717
US

IV. Provider business mailing address

2155 VERDUGO BLVD # 130
MONTROSE CA
91020-1628
US

V. Phone/Fax

Practice location:
  • Phone: 424-387-9582
  • Fax:
Mailing address:
  • Phone: 424-387-9582
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberPSY29355
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: