Provider Demographics
NPI:1568985778
Name:NA&TJ INC
Entity Type:Organization
Organization Name:NA&TJ INC
Other - Org Name:MEADOW PSYCHOTHERAPY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:TSATURYAN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:818-409-9917
Mailing Address - Street 1:300 W GLENOAKS BLVD STE 105
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91202-3084
Mailing Address - Country:US
Mailing Address - Phone:818-409-9917
Mailing Address - Fax:818-755-3181
Practice Address - Street 1:300 W GLENOAKS BLVD STE 105
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91202-3084
Practice Address - Country:US
Practice Address - Phone:818-409-9917
Practice Address - Fax:818-755-3181
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY18996103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty