=====================================================
General NPI Number Information
=====================================================
NPI Number | 1598633224
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NOURIAN PSYCHOTHERAPY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/24/2025
-----------------------------------------------------
Last Update Date | 10/24/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 100 E THOUSAND OAKS BLVD STE 176
-----------------------------------------------------
City | THOUSAND OAKS
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91360-8114
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 805-660-4652
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 18960 VENTURA BLVD STE 150
-----------------------------------------------------
City | TARZANA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91356-3224
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 805-660-4652
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | LMFT (OWNER)
-----------------------------------------------------
Name | SHAHIN SEAN NOURIAN
-----------------------------------------------------
Credential | LMFT
-----------------------------------------------------
Telephone | 805-660-4652
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------