Individual provider Active NPI

Delilah S Bakhaj

  • Marriage & Family Therapist
  • Woodland Hills, CA
National Provider Identifier
1013565050
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
134205 Issued in CA
Practice address
21243 Ventura Blvd Ste 126
Woodland Hills, CA 91364-2164
Phone
(818) 667-1053
NPI assigned
Sep 3, 2019
Reactivated
Dec 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

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 134205 CA Primary

Addresses

Primary practice location

21243 Ventura Blvd Ste 126
Woodland Hills, CA 91364-2164

Mailing address

18034 Ventura Blvd # 267
Encino, CA 91316-3516
Phone (818) 667-1053

Other identifiers 1

IdentifierTypeStateIssuer
95-2633765OtherCAMEDI-CAL

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
134205CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Delilah Therapy, Inc. Marriage & Family Therapist CurrentSince Nov 6, 2022 Accepting new patients

Locations

18034 Ventura Blvd
Encino, CA 91316
Phone (818) 304-0451

21243 Ventura Blvd
Ste 126
Woodland Hills, CA 91364
Phone (818) 667-1053

Organizations & group practices 1

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": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1013565050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18034 VENTURA BLVD # 267",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163516",
            "telephone_number": "818-667-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21243 VENTURA BLVD STE 126",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642164",
            "telephone_number": "818-667-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAKHAJ",
        "first_name": "DELILAH",
        "middle_name": "S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "deactivation_date": "2020-10-08",
        "reactivation_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "134205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "95-2633765",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.