DR. STEPHAN SIMONIAN M.D.
NPI 1104924208
Counselor - Mental Health in Glendale, CA

Active since September 20, 2006PECOS Enrolled
0/100
CMS Quality Rating
1141 N BRAND BLVD, SUITE # 306, GLENDALE, CA 91202(818) 551-1118(818) 551-1955 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Stephan Simonian M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. STEPHAN SIMONIAN M.D. (NPI 1104924208) is an individual mental health provider in Glendale, California, licensed in California (C50787) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1974).

NPPES Registry Identity

NPI1104924208
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDR. STEPHAN SIMONIANCredential: M.D.
Location Address1141 N BRAND BLVD, SUITE # 306Glendale, CA 91202
Mailing Address1141 N Brand Blvd, Suite # 306Glendale, CA 91202-2511 · (818) 551-1118 · Fax (818) 551-1955
Fax(818) 551-1955
Sole ProprietorYes
Medical School CMSOtherGraduated 1974
Enumeration DateSeptember 20, 2006
Last NPPES UpdateSeptember 11, 2025
NPI 1104924208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in CA · C50787
1141 N BRAND BLVD, Glendale, CA 91202

Other Identifiers 1

Medicaid00C507870CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Stephan Simonian M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557262086
PECOS Enrollment IDI20040117000189
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
1,635 services293 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
998 services313 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
928 services307 patients
Psychotherapy with evaluation and management visit, 45 minutes 90836
Psychotherapy with evaluation and management is a 45-minute session where a healthcare provider discusses your mental and emotional health. They assess your current state, manage any issues, and help you develop coping strategies. This service aims to improve your overall well-being.
54 services23 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
21 services21 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1141 N BRAND BLVD, SUITE 500
GLENDALE, CA 91202
Marriage & Family Therapist
1141 N BRAND BLVD
GLENDALE, CA 91202
Internal Medicine
1141 N BRAND BLVD, SUITE 302
GLENDALE, CA 91202
Physician Assistant (Surgical)
1141 N BRAND BLVD, STE. 300
GLENDALE, CA 91202
Obstetrics & Gynecology
1141 N BRAND BLVD, 305
GLENDALE, CA 91202
Internal Medicine
1141 N BRAND BLVD, SUITE 400
GLENDALE, CA 91202
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1141 N BRAND BLVD, SUITE # 306
GLENDALE, CA 91202
Anesthesiology
1141 N BRAND BLVD, STE 200
GLENDALE, CA 91202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephan Simonian's NPI number?

The NPI number for Stephan Simonian is 1104924208. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Stephan Simonian located?

Stephan Simonian practices at 1141 N Brand Blvd Suite # 306, Glendale, CA 91202. The listed phone number is (818) 551-1118.

What is Stephan Simonian's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Stephan Simonian enrolled in Medicare?

Yes. Stephan Simonian is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Stephan Simonian was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.