Provider Demographics
NPI:1366328221
Name:ROSANNA DARAGCHYAN PSYCHOLOGY GROUP INC.
Entity type:Organization
Organization Name:ROSANNA DARAGCHYAN PSYCHOLOGY GROUP INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROSANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:DARAGCHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMFT
Authorized Official - Phone:818-468-5865
Mailing Address - Street 1:11100 SEPULVEDA BLVD STE 8305
Mailing Address - Street 2:
Mailing Address - City:MISSION HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91345-1131
Mailing Address - Country:US
Mailing Address - Phone:818-900-0707
Mailing Address - Fax:
Practice Address - Street 1:9512 NATICK AVE
Practice Address - Street 2:
Practice Address - City:NORTH HILLS
Practice Address - State:CA
Practice Address - Zip Code:91343-3428
Practice Address - Country:US
Practice Address - Phone:818-468-5865
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-14
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty