Provider Demographics
NPI:1952733867
Name:KARAPETIAN, ROCHELLE BROOKE
Entity Type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:BROOKE
Last Name:KARAPETIAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ROCHELLE
Other - Middle Name:BROOKE
Other - Last Name:SHABANIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1827 CALAFIA ST
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91208-2303
Mailing Address - Country:US
Mailing Address - Phone:818-281-3411
Mailing Address - Fax:
Practice Address - Street 1:4955 VAN NUYS BLVD STE 301
Practice Address - Street 2:
Practice Address - City:SHERMAN OAKS
Practice Address - State:CA
Practice Address - Zip Code:91403-1815
Practice Address - Country:US
Practice Address - Phone:818-461-8911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-01
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
CAPSY29355103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)