Individual provider Active NPI

Justine Nader, AMFT

  • Marriage & Family Therapist
  • North Hollywood, CA
National Provider Identifier
1013546597
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
138757 Issued in CA
Practice address
11631 Victory Blvd Ste 203
North Hollywood, CA 91606-3572
Phone
(818) 908-3855
NPI assigned
Apr 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 138757 CA Primary

Addresses

Primary practice location

11631 Victory Blvd Ste 203
North Hollywood, CA 91606-3572

Mailing address

20427 Via Medici
Porter Ranch, CA 91326-4066
Phone (818) 321-5388

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
138757CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
San Fernando Valley Community Mental Health Center CurrentSince Apr 17, 2020 Accepting new patients
San Fernando Valley Community Mental Health Center, Inc. PastSince Apr 17, 2020 Accepting new patients

Locations

11631 Victory Blvd
Ste 203
North Hollywood, CA 91606
Phone (818) 908-3855

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1013546597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20427 VIA MEDICI",
            "city": "PORTER RANCH",
            "state": "CA",
            "postal_code": "913264066",
            "telephone_number": "818-321-5388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11631 VICTORY BLVD STE 203",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916063572",
            "telephone_number": "818-908-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADER",
        "first_name": "JUSTINE",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-06",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "138757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.