Pershing Square Family Therapy, Professional Corporation

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

PERSHING SQUARE FAMILY THERAPY, PROFESSIONAL CORPORATION

Practice address

453 S. Spring St #1237
Los Angeles, CA 90013

Phone

(323) 405-4845

NPI assigned

Jan 23, 2024

Organization subpart

No

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

Authorized official

Name

Alo Cruz JohnstonNPI 1962755470

Title

Owner

Phone

(323) 405-4845

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alo Cruz Johnston, M.A.

  • Marriage & Family Therapist
  • Los Angeles, CA
  • NPI 1962755470
  NPD (past) Authorized official
• Grayson Thompson, LMFT 160044

  • Marriage & Family Therapist
  • Los Angeles, CA
  • NPI 1578254512
  NPD

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1033970348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 S. SPRING ST #1237",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 S. SPRING ST #1237",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90013",
            "telephone_number": "323-405-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSHING SQUARE FAMILY THERAPY, PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "ALO",
        "authorized_official_middle_name": "CRUZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-405-4845"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Perry
• Danielle R Perryman, PSY.D.
• Christina Persaud
• Rehana Victoria Persaud, MD
• Stephen Persaud, NP-C
• Elizabeth M. Pershing, LCSW
• Nicola Silver Persky, LMFT
• Nicole Persky
• Dwayne Perry Persley
• Samantha Persoff

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.