Individual provider Active NPI

Payam Tony Kade, LMFT

  • Marriage & Family Therapist
  • Sherman Oaks, CA
National Provider Identifier
1033936653
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC41122 Issued in CA
Practice address
4025 Deervale Dr
Sherman Oaks, CA 91403-4610
Phone
(310) 709-1102
NPI assigned
Sep 24, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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 MFC41122 CA Primary

Addresses

Primary practice location

4025 Deervale Dr
Sherman Oaks, CA 91403-4610

Mailing address

4025 Deervale Dr
Sherman Oaks, CA 91403-4610
Phone (310) 709-1102

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
MFC41122CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1033936653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 DEERVALE DR",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914034610",
            "telephone_number": "310-709-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 DEERVALE DR",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914034610",
            "telephone_number": "310-709-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADE",
        "first_name": "PAYAM",
        "middle_name": "TONY",
        "name_prefix": "Dr.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC41122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.