Healthcare Provider Details

I. General information

NPI: 1700728169
Provider Name (Legal Business Name): VERA MKRTCHIAN PSYD PSYCHOTHERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2026
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2708 OAK RD APT 6
WALNUT CREEK CA
94597-2856
US

IV. Provider business mailing address

2708 OAK RD APT 6
WALNUT CREEK CA
94597-2856
US

V. Phone/Fax

Practice location:
  • Phone: 925-326-1762
  • Fax: 925-678-6530
Mailing address:
  • Phone: 925-326-1762
  • Fax: 925-678-6530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: VERA MKRTCHIAN
Title or Position: CLINICAL PSYCHOLOGIST
Credential: PSYD
Phone: 925-326-1762