Samara Aldahwi, MA, PSYD

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

111855 Issued in CA

Practice address

9615 Brighton Way Ste 219
Beverly Hills, CA 90210-5118

Phone

(424) 421-9577

NPI assigned

Oct 19, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1033718358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 FEDERAL AVE APT 303",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900256369",
            "telephone_number": "424-421-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9615 BRIGHTON WAY STE 219",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902105118",
            "telephone_number": "424-421-9577"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9171 Wilshire Blvd Ste 615",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902105517",
            "country_code": "US",
            "telephone_number": "202-910-8669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALDAHWI",
        "first_name": "SAMARA",
        "name_prefix": "Dr.",
        "credential": "MA, PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-19",
        "last_updated": "2021-01-08",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "111855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://member.psychologytoday.com/us/home",
            "affiliation": "N",
            "address_1": "9171 Wilshire Blvd Ste 615",
            "city": "Beverly Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902105517",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.thebeverlyhillsmft.com",
            "affiliation": "N",
            "endpointDescription": "9615 Brighton Way, Suite 219, Beverly Hills, 90210",
            "address_1": "9615 Brighton Way Ste 219",
            "city": "Beverly Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902105118",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.thebeverlyhillsmft.com",
            "affiliation": "N",
            "address_1": "9615 Brighton Way Ste 219",
            "city": "Beverly Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902105118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• All providers in Beverly Hills, CA
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; 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.