=====================================================
General NPI Number Information
=====================================================
NPI Number | 1164343216
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SIVART MESROBIAN PSYD A PSYCHOLOGICAL CORPORATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/23/2026
-----------------------------------------------------
Last Update Date | 07/23/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 24341 JOHNETTA ST
-----------------------------------------------------
City | WOODLAND HILLS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91367-3944
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-287-8918
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 4973
-----------------------------------------------------
City | WEST HILLS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91308-4973
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 818-287-8918
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/PROVIDER
-----------------------------------------------------
Name | SIVART MESROBIAN
-----------------------------------------------------
Credential | PSYD
-----------------------------------------------------
Telephone | 818-287-8918
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103TC0700X
-----------------------------------------------------
Taxonomy Name | Clinical Psychologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------