Individual provider Active NPI

Robert Michael Hirschhorn, LMFT

  • Mental Health Counselor
  • Culver City, CA
National Provider Identifier
1013075084
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MFT34308 Issued in CA
Practice address
6124 Buckingham Pkwy Unit 304
Culver City, CA 90230-7224
Phone
(323) 290-8705
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MFT34308 CA Primary

Addresses

Primary practice location

6124 Buckingham Pkwy Unit 304
Culver City, CA 90230-7224

Mailing address

6124 Buckingham Pkwy Unit 304
Culver City, CA 90230-7224
Phone (323) 290-8705

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFT34308CAMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013075084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6124 BUCKINGHAM PKWY UNIT 304",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902307224",
            "telephone_number": "323-290-8705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6124 BUCKINGHAM PKWY UNIT 304",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902307224",
            "telephone_number": "323-290-8705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRSCHHORN",
        "first_name": "ROBERT",
        "middle_name": "MICHAEL",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFT34308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.