Provider Demographics
NPI:1710313812
Name:CENTRAL PSYCHOLOGICAL SERVICES INC
Entity Type:Organization
Organization Name:CENTRAL PSYCHOLOGICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ZARA
Authorized Official - Middle Name:
Authorized Official - Last Name:ASHIKYAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:818-501-4710
Mailing Address - Street 1:PO BOX 55428
Mailing Address - Street 2:
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91413-0428
Mailing Address - Country:US
Mailing Address - Phone:818-501-4710
Mailing Address - Fax:818-501-4720
Practice Address - Street 1:16311 VENTURA BLVD STE 977
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-4331
Practice Address - Country:US
Practice Address - Phone:818-501-4710
Practice Address - Fax:818-501-4720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-20
Last Update Date:2013-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY21081103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty