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DR. ALEXANDER YURYEVICH AVANESOV PH.D.
NPI 1902956881
Psychologist - Addiction (Substance Use Disorder) in Redwood City, CA

Active since January 11, 2007
26 CENTRAL AVE, REDWOOD CITY, CA 94061(650) 367-9030(650) 367-9032 Get Directions Write a Review

NPPES record last updated: May 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 9, 2023, Jul 21, 2022, May 24, 2017 (3 updates tracked since 2017).

About Dr. Alexander Yuryevich Avanesov Ph.d. NPPES

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

DR. ALEXANDER YURYEVICH AVANESOV PH.D. (NPI 1902956881) is an individual addiction (substance use disorder) provider in Redwood City, California, licensed in California (PSY33518) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1902956881
Entity TypeIndividualMale
Primary Taxonomy103TA0400X
Provider Legal NameDR. ALEXANDER YURYEVICH AVANESOVCredential: PH.D.
Location Address26 CENTRAL AVERedwood City, CA 94061-3823
Mailing AddressPo Box 471869San Francisco, CA 94147-1869 · (650) 281-4072
Phone(650) 367-9030
Fax(650) 367-9032
Sole ProprietorNo
Enumeration DateJanuary 11, 2007
Last NPPES UpdateMay 27, 20243 updates tracked since enumeration
NPPES CertifiedMay 27, 2024
✔ NPI 1902956881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code103TA0400X
License✔ Licensed in CA · PSY33518
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License PSY33518 (CA)
26 CENTRAL AVE, Redwood City, CA 94061
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Other Names 1

Other Name (5)Dr. Sasha Avanesov Ph.d.

Other Providers at the Same Location NPPES 3

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

OUR COMMON GROUND, INC
Clinic/Center (Rehabilitation, Substance Use Disorder)
26 CENTRAL AVE
REDWOOD CITY, CA 94061
San Mateo County (650) 364-7988
OUR COMMON GROUND, INC.
Clinic/Center (Rehabilitation, Substance Use Disorder)
26 CENTRAL AVE
REDWOOD CITY, CA 94061
San Mateo County (650) 367-9030
MR. LUIS AMAYA
Counselor (Addiction (Substance Use Disorder))
26 CENTRAL AVE
REDWOOD CITY, CA 94061
San Mateo County (650) 367-9030

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 Alexander Avanesov's NPI number?

The NPI number for Alexander Avanesov is 1902956881. It was assigned to this individual provider in the NPPES registry on January 11, 2007. The provider is also known as Dr. Sasha Avanesov Ph.D..

Where is Alexander Avanesov located?

Alexander Avanesov practices at 26 Central Ave, Redwood City, CA 94061. The listed phone number is (650) 367-9030.

What is Alexander Avanesov's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Addiction (Substance Use Disorder), with taxonomy code 103TA0400X.

When was this NPI record last updated?

The NPPES record for Alexander Avanesov was last updated on May 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.