Organization Active NPI

Individual, Couples and Family Therapy Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Culver City, CA
National Provider Identifier
1043671845
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
MFC49377 Issued in CA
Legal business name
INDIVIDUAL, COUPLES AND FAMILY THERAPY INC.
Practice address
10811 Washington Blvd Ste 301
Culver City, CA 90232-3666
Phone
(310) 431-7532
NPI assigned
Mar 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Authorized official

Name
Caitlin Tonda, MFTNPI 1245523182
Title
President
Phone
(310) 431-7532

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X MFC49377 CA Primary

Addresses

Primary practice location

10811 Washington Blvd Ste 301
Culver City, CA 90232-3666

Mailing address

10811 Washington Blvd Ste 301
Culver City, CA 90232-3666
Phone (310) 431-7532

Other identifiers 1

IdentifierTypeStateIssuer
1245523182OtherCAINDIVIDUAL NPI #

National Provider Directory

National Provider Directory

Locations

10811 Washington Blvd
Ste 301
Culver City, CA 90232
Phone (310) 431-7532

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1043671845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10811 WASHINGTON BLVD STE 301",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323666",
            "telephone_number": "310-431-7532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10811 WASHINGTON BLVD STE 301",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902323666",
            "telephone_number": "310-431-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIVIDUAL, COUPLES AND FAMILY THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "TONDA",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-431-7532",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "MFC49377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "1245523182",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2016; 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.