Healthcare Provider Details

I. General information

NPI: 1164343216
Provider Name (Legal Business Name): SIVART MESROBIAN PSYD A PSYCHOLOGICAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24341 JOHNETTA ST
WOODLAND HILLS CA
91367-3944
US

IV. Provider business mailing address

PO BOX 4973
WEST HILLS CA
91308-4973
US

V. Phone/Fax

Practice location:
  • Phone: 818-287-8918
  • Fax:
Mailing address:
  • Phone: 818-287-8918
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: SIVART MESROBIAN
Title or Position: OWNER/PROVIDER
Credential: PSYD
Phone: 818-287-8918