Active NPI
Virginia B Baldioli, LMFT MARRIAGE & FAMI
- Marriage & Family Therapist
- Van Nuys, CA
National Provider Identifier
1033328935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 23829
- Practice address
- 6850 Van Nuys Blvd Ste 202
Van Nuys, CA 91405-4629 - Phone
- (818) 786-2079
- Fax
- (818) 304-0714
- NPI assigned
- May 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Group Psychotherapy Psychologist | 103TP2701X | 23829 MFT | CA | |
| Marriage & Family Therapist | 106H00000X | 23829 | CA | Primary |
Addresses
Primary practice location
6850 Van Nuys Blvd Ste 202
Van Nuys, CA 91405-4629
Mailing address
6850 Van Nuys Blvd.
Suite 202
Van Nuys, CA 91405
Phone (818) 786-2079
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240531001990 | CA | Practitioner - Marriage and Family Therapist | 2860834207 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23829 MFT | CA | MD | Group Psychotherapy Psychologist |
| 23829 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502150400000",
"number": "1033328935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6850 VAN NUYS BLVD.",
"address_2": "SUITE 202",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "91405",
"telephone_number": "818-786-2079",
"fax_number": "818-304-0714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6850 VAN NUYS BLVD STE 202",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914054629",
"telephone_number": "818-786-2079",
"fax_number": "818-304-0714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALDIOLI",
"first_name": "VIRGINIA",
"middle_name": "B",
"credential": "LMFT MARRIAGE & FAMI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2017-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TP2701X",
"taxonomy_group": "",
"desc": "Psychologist, Group Psychotherapy",
"state": "CA",
"license": "23829 MFT",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "23829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.