RUZANNA AGAMYAN, PhD Unlicensed — NPI 1215067194 (Licensed & Credentialed Behavioral Health & Social Service Providers

CMS-1500 Box 24J / 33a • NPI

1215067194

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

103TC0700X (CMS 62)

Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical

Box 32 Service Location & ZIP+4

3208 ROSEMEAD BLVD, ENKI, EL MONTE, CA, 91731

Official NPPES Practice Location

Practice Phone & Referral Fax

(626) 227-7001

Fax: (626) 227-7002

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1215067194 (RUZANNA AGAMYAN, PhD Unlicensed) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1215067194` (NPI-1 Individual Practitioner)
Provider / Legal Name	RUZANNA AGAMYAN, PhD Unlicensed
Plain-English Specialty	Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical NUCC Code: `103TC0700X` (Psychologist, Clinical)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	3208 ROSEMEAD BLVD, ENKI, EL MONTE, CA, 91731
Practice Telephone / Fax	Tel: (626) 227-7001 \| Fax: (626) 227-7002
Administrative Mailing Address	201 E ANGELENO AVE UNIT 403, BURBANK, CA, 91502-2956
Enumeration & Last Sync	Enumerated: 2007-03-07 \| CMS Record Updated: 2023-12-27

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

3208 ROSEMEAD BLVD, ENKI, EL MONTE, CA, 91731

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Plain-English Taxonomy & CMS Crosswalk (103TC0700X)

What Does Taxonomy Code 103TC0700X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 103TC0700X translates to:
"Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 62 (Psychologist, Clinical) • CMS Code 68 (Psychologist, Clinical)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Psychologist, Clinical for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (RUZANNA AGAMYAN, PhD Unlicensed)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`103TC0700X` — Psychologist, Clinical Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Psychologist, Clinical	State: CA \| License: `21548` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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RUZANNA AGAMYAN, PhD Unlicensed (NPI #1215067194)