1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Clinical Neuropsychologist
  6. NPI Profile

MARAL AGHVINIAN
NPI 1588545685
Clinical Neuropsychologist in Los Angeles, CA

Active since September 08, 2025PECOS EnrolledAccepts Medicare Assignment
11835 W OLYMPIC BLVD STE 1270E, LOS ANGELES, CA 90064(310) 273-4843 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Maral Aghvinian NPPES

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

MARAL AGHVINIAN (NPI 1588545685) is an individual clinical neuropsychologist in Los Angeles, California, licensed in California (PSY35718) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Fordham University School Of Medicine (2023).

NPPES Registry Identity

NPI1588545685
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameMARAL AGHVINIAN
Location Address11835 W OLYMPIC BLVD STE 1270ELos Angeles, CA 90064-5053
Mailing Address396 31st AveSan Francisco, CA 94121-1707
Phone(310) 273-4843
Sole ProprietorNo
Medical School CMSFordham University School Of MedicineGraduated 2023
Enumeration DateSeptember 8, 2025
NPPES CertifiedSeptember 8, 2025
✔ NPI 1588545685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in CA · PSY35718
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
11835 W OLYMPIC BLVD STE 1270E, Los Angeles, CA 90064
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Maral Aghvinian is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800392481
PECOS Enrollment IDI20251002001155
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.

Medicare Billing Reassignment

Medicare enrollment records show Maral Aghvinian reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Executive Mental Health, Inc.
Same address
Mental Health
11835 W OLYMPIC BLVD STE 1270E
Los Angeles, CA 90064
  • Reassigned Medicare billing, California enrollment
  • 53 clinicians in this Medicare group
NPI 1275670036 (310) 273-4843

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. DYLAN VAUGHN PHD
Clinical Neuropsychologist
11835 W OLYMPIC BLVD STE 1270E
LOS ANGELES, CA 90064
Los Angeles County (310) 620-2185
DR. CONRAD DANIEL SPEZZACATENA PSY.D.
Clinical Neuropsychologist
11835 W OLYMPIC BLVD STE 1270E
LOS ANGELES, CA 90064
Los Angeles County (623) 377-7410
EXECUTIVE MENTAL HEALTH, INC.
Counselor (Mental Health)
11835 W OLYMPIC BLVD STE 1270E
LOS ANGELES, CA 90064
Los Angeles County (310) 273-4843
HOLLY GEORGE
Clinical Neuropsychologist
11835 W OLYMPIC BLVD STE 1270E
LOS ANGELES, CA 90064
Los Angeles County (310) 273-4843
JUNG YUN JANG PH.D.
Psychologist
11835 W OLYMPIC BLVD STE 1270E
LOS ANGELES, CA 90064
Los Angeles County (310) 273-4843
DR. AMANDA TING PH.D.
Psychologist (Clinical)
11835 W OLYMPIC BLVD STE 1270E
LOS ANGELES, CA 90064
Los Angeles County (310) 273-4843
NESHA HARPER PHD
Psychologist
11835 W OLYMPIC BLVD STE 1270E
LOS ANGELES, CA 90064
Los Angeles County (310) 273-4843
COURTNEY CRISP
Psychologist
11835 W OLYMPIC BLVD STE 1270E
LOS ANGELES, CA 90064
Los Angeles County (310) 273-4843

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 Maral Aghvinian's NPI number?

The NPI number for Maral Aghvinian is 1588545685. It was assigned to this individual provider in the NPPES registry on September 8, 2025.

Where is Maral Aghvinian located?

Maral Aghvinian practices at 11835 W Olympic Blvd Ste 1270E, Los Angeles, CA 90064. The listed phone number is (310) 273-4843.

What is Maral Aghvinian's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Maral Aghvinian enrolled in Medicare?

Yes. Maral Aghvinian is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Maral Aghvinian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maral Aghvinian reassigns Medicare benefits to Executive Mental Health, Inc. (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maral Aghvinian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Maral Aghvinian was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.